Wayne Joseph Dibartola Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS024638L Issued in PA

Practice address

3249 Washington Pike
Suite 1107
Bridgeville, PA 15017-1461

Phone

(412) 221-9440

Fax

(412) 221-1377

NPI assigned

Nov 25, 2013

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Dibartola Dental

  • Dentist
  • Bridgeville, PA
  • NPI 1780741678
  NPD (past) Authorized official

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1235569435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 WASHINGTON PIKE",
            "address_2": "SUITE 1107",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171413",
            "telephone_number": "412-221-9440",
            "fax_number": "412-221-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 WASHINGTON PIKE",
            "address_2": "SUITE 1107",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171461",
            "telephone_number": "412-221-9440",
            "fax_number": "412-221-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBARTOLA",
        "first_name": "WAYNE",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS024638L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica L Devine, PHARMD
• Julie Erin Devore, D.O., M.P.H.
• Alonso R Diaz, M. D.
• Rachel Lynn Diaz
• Dibartola Dental
• Jennie Dish
• Megan Katherine Disher, M.S., CCC-SLP
• Sarah Elizabeth Donaldson, PA-C
• Larissa E Dover
• Miranda Downs

• All providers in Bridgeville, PA
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.