Organization Active NPI

Rafik Dib, DDS, LLC

Doing business as AVA Dental Implants Periodontics

  • Periodontics
  • Davenport, FL
National Provider Identifier
1740154004
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
RAFIK DIB, DDS, LLC
Doing business as
AVA Dental Implants Periodontics
Practice address
2600 Jacks Rd
Davenport, FL 33897-8007
Phone
(863) 888-3374
Fax
(863) 888-3369
NPI assigned
Sep 30, 2025
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Dr. Rafik Dib, DDSNPI 1902142722
Title
Owner
Phone
(863) 888-3374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

2600 Jacks Rd
Davenport, FL 33897-8007

Mailing address

2600 Jacks Rd
Davenport, FL 33897-8007

Other names 1

  • AVA Dental Implants Periodontics Doing business as

National Provider Directory

National Provider Directory
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.

Locations

2600 Jacks Rd
Davenport, FL 33897
Phone (863) 888-3374

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1740154004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 JACKS RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338978007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 JACKS RD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338978007",
            "telephone_number": "863-888-3374",
            "fax_number": "863-888-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAFIK DIB, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "DIB",
        "authorized_official_first_name": "RAFIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-888-3374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVA Dental Implants Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.