Aurora Clark Dibner, D.M.D

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

11145 Issued in CT

Practice address

112 Cross Rd
Waterford, CT 06385-1204

Phone

(860) 447-1787

NPI assigned

Jul 26, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Connecticut Dentistry, LLC

  • General Practice Dentistry
  • Waterford, CT
  • NPI 1689722365
  NPD (past)
• Resolute Cross Road LLC

  • Dental Clinic/Center
  • Waterford, CT
  • NPI 1730644212
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1194038646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CROSS RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851204",
            "telephone_number": "860-447-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CROSS RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851204",
            "telephone_number": "860-447-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBNER",
        "first_name": "AURORA",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CT",
            "license": "11145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Dean, LMFT
• Frank R. Dellacono, M.D.
• Brittany Desantis
• Anthony Devlin, HIS
• Mallory Rose Devona, MS, NCC, LPC
• Clarisse G Dicandia, PSYD
• Katelyn Dillon, M.S., CCC-SLP
• Linda Dipesa, LCSW
• Doc Eye LLC
• Sarah Dolan

• Prosthodontics in Waterford, CT
• Providers in Waterford, CT by specialty
• Prosthodontics in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.