NPIMap

Organization Active NPI

Dibona Dental Group

  • General Practice Dentistry
  • Exeter, NH
National Provider Identifier
1740220573
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1475 Issued in NH
Legal business name
DIBONA DENTAL GROUP
Practice address
19 Hampton Rd
Suite #11
Exeter, NH 03833-4816
Phone
(603) 772-4352
Fax
(603) 772-5086
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark C. Dibona, D.D.S.NPI 1073722195
Title
Owner/Pres
Phone
(603) 772-4352

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1475 NH Primary

Addresses

Primary practice location

19 Hampton Rd
Suite #11
Exeter, NH 03833-4816

Mailing address

19 Hampton Rd
Suite #11
Exeter, NH 03833-4816
Phone (603) 772-4352

National Provider Directory

National Provider Directory

Locations

19 Hampton Rd
Ste 11
Exeter, NH 03833
Phone (603) 772-4352

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740220573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HAMPTON RD",
            "address_2": "SUITE #11",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334816",
            "telephone_number": "603-772-4352",
            "fax_number": "603-772-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HAMPTON RD",
            "address_2": "SUITE #11",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334816",
            "telephone_number": "603-772-4352",
            "fax_number": "603-772-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIBONA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIBONA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/PRES",
        "authorized_official_telephone_number": "603-772-4352",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • 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.