Rafik Dib, DDS, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

RAFIK DIB, DDS, LLC

Practice address

3003 Enterprise Rd E
Clearwater, FL 33759-1304

Phone

(727) 799-4492

NPI assigned

Oct 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Rafik Dib, DDS, MSD, PHARMDNPI 1902142722

Title

Periodontist

Phone

(504) 908-3711

Specialties & licenses 1

Addresses

Tax ID family

Ava Dental Implants Periodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Rafik Dib, DDS, LLC

  dba AVA Dental Implants Periodontics

  • Periodontics
  • Davenport, FL
  • NPI 1740154004
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rafik Dib, DDS, MSD, PHARMD.

  • Periodontics
  • Davenport, FL
  • NPI 1902142722
  NPD Authorized official
• James L Carazola, DMD

  • Periodontics
  • Clearwater, FL
  • NPI 1508906082
  NPD (past)

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1619575057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 SPANISH TRL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046818",
            "telephone_number": "504-908-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 ENTERPRISE RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591304",
            "telephone_number": "727-799-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFIK DIB, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "DIB",
        "authorized_official_first_name": "RAFIK",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "504-908-3711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD, PHARMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiology Associates of Clearwater
• Radiology Associates of Clearwater
• Marcia A Radke, M.D.
• Natasa Radosavljevic, D.D.S.
• Marina Radtke, MSN, APRN, FNP-C
• Ashraf Ahmed Ragab, MD
• Saundra Ragland
• Michael J Ragone, D.O.
• Haseeb Ahmad Rahman, M.D., D.H.SC., M.SC.
• Rai Care Centers of Florida I, LLC (FMC Clearwater Beach)

• Periodontics in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.