Frank J. Di Bari, DDS
Individual provider Active NPI General Practice Dentistry · Redway, CA
NPI 1699803262 · NPPES record last updated Jun 22, 2010
Key facts
- NPI
- 1699803262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 24003 (CA)
- Practice address
- 76 Briceland Road
Redway, CA 95560 - Phone
- (707) 923-9060
- Fax
- (707) 923-9660
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 24003 | CA | Yes |
Addresses
Primary practice location
76 Briceland Road
Redway, CA 95560
Mailing address
PO Box 466
Redway, CA 95560-0466
Phone (707) 923-9060
Other providers in Redway, CA
- Serenity Bowen
- Susan Bowles
- Heather Carruth
- Agata Anna Chalfin
- Shanna Crowe
- Maxwell Theodore Dismuke
- Meeka Ferretta
- Marilyn Lee Foote
- Jennifer A Fountain
- Natalie Goltz
All providers in Redway, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.