Mr David Lee Dibble, DDS is a
Dentist based in Central Lake, Michigan. Mr David Lee Dibble is licensed to practice in Michigan (license number 290-1013248) and his current practice location is
2550 N Main St, Central Lake, Michigan. He can be reached at his office (for appointments etc.) via phone at
(231) 544-8115.
NPI number for Mr David Lee Dibble is 1184720856 and his current mailing address is 18048 Hilltop Dr, Charlevoix, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184720856.
Healthcare Provider's Profile
Full Name | Mr David Lee Dibble |
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Gender | Male |
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Speciality | Dentist |
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Location | 2550 N Main St, Central Lake, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1184720856
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr David Lee Dibble such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184720856 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 290-1013248 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David Lee Dibble is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr David Lee Dibble, DDS 18048 Hilltop Dr, Charlevoix, MI 49720-9783 Ph: (231) 547-5646 | Mr David Lee Dibble, DDS 2550 N Main St, Central Lake, MI 49622 Ph: (231) 544-8115 |
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