Denise Dibona DDS,LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI15880 Issued in NJ

Legal business name

DENISE DIBONA DDS,LLC

Practice address

146 Maple Ave
Red Bank, NJ 07701-1701

Phone

(732) 530-5111

Fax

(732) 741-2584

NPI assigned

Oct 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Denise Dibona, DDSNPI 1215038047

Title

Dentist/Owner

Phone

(732) 530-5111

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Denise Dibona, DDS

  • General Practice Dentistry
  • Red Bank, NJ
  • NPI 1215038047
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1114116308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011701",
            "telephone_number": "732-530-5111",
            "fax_number": "732-741-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011701",
            "telephone_number": "732-530-5111",
            "fax_number": "732-741-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE DIBONA DDS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "DIBONA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "732-530-5111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI15880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE DENTAL LICENSE",
            "identifier": "DI15880",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delta Community Supports, Inc.
• Delta Community Supports, Inc.
• Ferda Demirtas
• Melanie Denardo, PMHNP
• Denise Dibona DDS LLC
• Dermatopathology Institute of New Jersey, LLC
• Donald Adam Derosa, D.M.D.
• Chelsea Nicole Derose, LSW
• Shubada Deshpande, BCBA
• Michael R Desocio, ATC

• General Practice Dentistry in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.