Active NPIIndividual provider

Dr. Patricia Dibos, DMD

Dentist, Pediatric Dentistry in Bayonne, New Jersey

NPI Number1134378524
Practice location
654 Avenue C Ste 202, Bayonne, NJ 07002-3899
Fax
—
Last updated
January 23, 2024

Patricia Dibos is a Dentist, Pediatric Dentistry based in Bayonne, NJ. Patricia Dibos practices in Bayonne, NJ and has the professional credentials of DMD. The NPI Number for Patricia Dibos is 1134378524 and holds a License No. 053507 (NY). The current practice location address for Patricia Dibos is 654 Avenue C Ste 202, Bayonne, NJ 07002-3899 and can be reached out via phone at 201-436-7777.

Provider Profile Details

NPI Number
1134378524
Provider Name
Patricia Dibos
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
654 Avenue C Ste 202, Bayonne, NJ 07002-3899
Phone Number
201-436-7777
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
September 10, 2008
Last Update Date
January 23, 2024
Certification Date
January 23, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
654 Avenue C Ste 202
Bayonne, NJ 07002-3899
Zip
07002-3899
Phone Number
201-436-7777
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
654 Avenue C Ste 202
Bayonne, NJ 07002-3899
City
Bayonne
State
NJ
Zip
07002-3899
Phone Number
201-436-7777

License Information

License Number (1)
053507
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
053501
License State (2)
NY
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (3)
22DI02394700
License State (3)
NJ
Taxonomy (3)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Patricia Dibos, DMD?

The NPI number of Dr. Patricia Dibos, DMD is 1134378524. It was assigned on September 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Patricia Dibos, DMD?

Dr. Patricia Dibos, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NY under license number 053507.

Where does Dr. Patricia Dibos, DMD practice?

The practice location is 654 Avenue C Ste 202, Bayonne, NJ 07002-3899. The office can be reached at 201-436-7777 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134378524 directly on the NPPES registry website.

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