Paul D. Dibley, D.D.S., S.C.

LBN: Paul D. Dibley, D.D.S., S.C.
Paul D. Dibley, D.D.S., S.C. is an health care organization with primary practice located at 920 E 5Th St , Shawano WI 54166-2212. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Paul D. Dibley, D.D.S., S.C. can be contacted via phone (715) 526-3315, or through Dibley, Paul D. via phone (715) 526-3315.

Contact Information

Primary practice address
920 E 5Th St Shawano WI 54166-2212
Phone: (715) 526-3315
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dibley, Paul D. Doctor of Dental Surgery (DDS)
Phone: (715) 526-3315

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5001351015 Wisconsin

Profile Details

NPI number 1720078512
LBN Legal business name Paul D. Dibley, D.D.S., S.C.
DBA Doing business as
Authorized official Dibley, Paul D. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720078512 NPPES
Wisconsin MEDICAID 33617100

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