Prof. Serge Dibart, DMD DDS
Dentist, Periodontics in Watertown, Massachusetts
1598898793- Practice location
- 106 Mount Auburn St, Watertown, MA 02472-3968
- Phone
- 617-926-1013
- Fax
- 617-926-6739
- Last updated
- July 8, 2007
Serge Dibart is a Dentist, Periodontics based in Watertown, MA. Serge Dibart practices in Watertown, MA and has the professional credentials of DMD DDS. The NPI Number for Serge Dibart is 1598898793 and holds a License No. 17572 (MA). The current practice location address for Serge Dibart is 106 Mount Auburn St, Watertown, MA 02472-3968 and can be reached out via phone at 617-926-1013 and via fax at 617-926-6739.
Provider Profile Details
- NPI Number
- 1598898793
- Provider Name
- Serge Dibart
- Credential
- DMD DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 106 Mount Auburn St, Watertown, MA 02472-3968
- Phone Number
- 617-926-1013
- Fax Number
- 617-926-6739
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 14, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 106 Mount Auburn St
Watertown, MA 02472-3968 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-3968
- Phone Number
- 617-926-1013
- Fax Number
- 617-926-6739
Provider Business Mailing Address Details
- Address
- 106 Mount Auburn St
Watertown, MA 02472-3968 - City
- Watertown
- State
- MA
- Zip
- 02472-3968
- Phone Number
- 617-926-1013
- Fax Number
- 617-926-6739
License Information
- License Number
- 17572
- License State
- MA
- Taxonomy
- Dentist, Periodontics · 1223P0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Prof. Serge Dibart, DMD DDS?
The NPI number of Prof. Serge Dibart, DMD DDS is 1598898793. It was assigned on March 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Prof. Serge Dibart, DMD DDS?
Prof. Serge Dibart, DMD DDS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in MA under license number 17572.
Where does Prof. Serge Dibart, DMD DDS practice?
The practice location is 106 Mount Auburn St, Watertown, MA 02472-3968. The office can be reached at 617-926-1013 (phone) or 617-926-6739 (fax).
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 1598898793 directly on the NPPES registry website.