Dibelka, James Joseph

Dibelka, James Joseph is an individual health care provider with primary practice located at Us Hwy 491 North , Shiprock NM 87420. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Dibelka, James Joseph can be contacted via phone (505) 368-6001.

Contact Information

Primary practice address
Us Hwy 491 North Shiprock NM 87420
Phone: (505) 368-6001
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401 006200 Virginia
Dental Providers / General Practice 1223G0001X 34691 California

Profile Details

NPI number 1336132984
LBN Legal business name Dibelka, James Joseph
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Mar 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336132984 NPPES
Virginia Other 0401 006200 DENTAL LICENSE

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