Dibor Dental Assoc Inc in Philadelphia - Dental

Dibor Dental Assoc Inc - NPI 1619955697

Dibor Dental Assoc Inc is a Dental in Philadelphia, Pennsylvania. Dibor Dental Assoc Inc practices all healthcare services and medical treatments related to Dental. The NPI Number for Dibor Dental Assoc Inc is 1619955697. The last update date is 2020-08-22.

Dibor Dental Assoc Inc's current location address is 5525 Wayne Avenue, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158434900 and fax number 2158433130. The mailing address for Dibor Dental Assoc Inc is 5525 Wayne Avenue, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dibor Dental Assoc Inc
Address 5525 Wayne Avenue, Philadelphia, Pennsylvania
Phone Number 2158434900
Fax Number 2158433130
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTAL DIR
Authorized Official Name Dibor N Chinyelu
Credentials DMD
Telephone Number 2158434900

NPI Number Detail

NPI Number 1619955697
Provider Enumeration Date 2006-01-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 5525 Wayne Avenue
City Philadelphia
State Pennsylvania (PA)
Post Code 19144
Phone Number 2158434900
Fax Number 2158433130

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No DS029890L
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Dibor Dental Assoc Inc

What is the unique 10-digit identification code issued to Dibor Dental Assoc Inc by the Centers for Medicare & Medicaid Services?

The Dibor Dental Assoc Inc has been assigned the NPI (National Provider Identifier) 1619955697 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Dibor Dental Assoc Inc is located?

The Dibor Dental Assoc Inc is situated at the following address: 5525 Wayne Avenue, Philadelphia, PA, 19144.

What is Dibor Dental Assoc Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Dibor Dental Assoc Inc's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.

On what date did the Dibor Dental Assoc Inc receive the assignment of its 1619955697 from the Centers for Medicare & Medicaid Services?

The Dibor Dental Assoc Inc was issued its 1619955697 by the Centers for Medicare & Medicaid Services on 2006-01-09.

When was the information pertaining to Dibor Dental Assoc Inc most recently updated or revised?

The details related to Dibor Dental Assoc Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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