Serge Dibart is a Periodontics in Watertown, Massachusetts. Serge Dibart practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Serge Dibart is 1598898793. The last update date is 2007-07-08.
Serge Dibart's current location address is 106 Mount Auburn St, Watertown, Massachusetts. You can contact this provider via phone number 6179261013 and fax number 6179266739. The mailing address for Serge Dibart is 106 Mount Auburn St, Watertown, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Serge Dibart |
|---|---|
| Address | 106 Mount Auburn St, Watertown, Massachusetts |
| Phone Number | 6179261013 |
| Fax Number | 6179266739 |
| Sole Proprietor | Y |
| Credentials | D.M.D. D. |
NPI Number Detail
| NPI Number | 1598898793 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 106 Mount Auburn St |
|---|---|
| City | Watertown |
| State | Massachusetts (MA) |
| Post Code | 24723968 |
| Phone Number | 6179261013 |
| Fax Number | 6179266739 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 17572 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the Serge Dibart's unique identification number?
The Serge Dibart has been assigned the NPI (National Provider Identifier) Number 1598898793 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Serge Dibart's facilities are geographically located?
The facilities of Serge Dibart are physically situated at the following location: 106 Mount Auburn St, Watertown, MA, 24723968.
What is the area of specialization for Serge Dibart, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Serge Dibart is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did the Serge Dibart receive its 1598898793 assignment from the Centers for Medicare & Medicaid Services?
The Serge Dibart was assigned its 1598898793 by the Centers for Medicare & Medicaid Services on 2007-03-14.
As of what date were the details related to Serge Dibart most recently updated or revised?
The information pertaining to Serge Dibart, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.