Dibor Dental Assoc Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS029890L Issued in PA

Legal business name

DIBOR DENTAL ASSOC INC

Practice address

5525 Wayne Avenue
Philadelphia, PA 19144

Phone

(215) 843-4900

Fax

(215) 843-3130

NPI assigned

Jan 9, 2006

Organization subpart

No

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

Authorized official

Name

Chinyelu N Dibor, DMDNPI 1841444247

Title

Dental Director

Phone

(215) 843-4900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Chinyelu Dibor, D.M.D.

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1841444247
  NPD (past) Authorized official

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619955697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 WAYNE AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19144",
            "telephone_number": "215-843-4900",
            "fax_number": "215-843-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 WAYNE AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19144",
            "telephone_number": "215-843-4900",
            "fax_number": "215-843-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIBOR DENTAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIBOR",
        "authorized_official_first_name": "CHINYELU",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTAL DIRECTOR",
        "authorized_official_telephone_number": "215-843-4900",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS029890L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Dibella
• Aubrey Dibello
• Michael Dibello
• Skylar Diberardinis, PA-C
• Dana Diblasi, RN
• Chinyelu Dibor, D.M.D.
• Tammy L Dibricida, CRNP
• Lauren Dicair, L.C.S.W.
• Catherine M Dicataldo
• Bernadette B Diccion, CRNP

• Dental Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.