David Dibble Dds Pc | |
2550 N Main Street Central Lake MI 49622 | |
(231) 544-8115 | |
(231) 544-6012 |
Full Name | David Dibble Dds Pc |
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Speciality | Dentist |
Location | 2550 N Main Street, Central Lake, Michigan |
Authorized Official Name and Position | David Lee Dibble (PRESIDENT) |
Authorized Official Contact | 2315448115 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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David Dibble Dds Pc Po Box 457 2550 N Main Street Central Lake MI 49622 Ph: (231) 544-8115 | David Dibble Dds Pc 2550 N Main Street Central Lake MI 49622 Ph: (231) 544-8115 |
NPI Number | 1508958273 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1508958273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 2901013248 (Michigan) | Primary |