Ann M Dibella, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0014004 Issued in FL

Practice address

415 S Federal Hwy
Suite Number One
Lake Worth, FL 33460-4682

Phone

(561) 588-1701

Fax

(561) 588-0217

NPI assigned

Jan 6, 2011

Last updated

Jan 6, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1750685715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S FEDERAL HWY",
            "address_2": "SUITE ONE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604682",
            "telephone_number": "561-588-1701",
            "fax_number": "561-588-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S FEDERAL HWY",
            "address_2": "SUITE NUMBER ONE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604682",
            "telephone_number": "561-588-1701",
            "fax_number": "561-588-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBELLA",
        "first_name": "ANN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0014004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dafne Rosenda Diaz Verdugo
• Edgar Manuel Diaz
• Estephany Diaz
• Natalie Diaz
• Raul Diaz, PH.D.
• Melissa Dick-Panzarella
• Islande Dieujuste
• Maria Diez Guerra
• Cynthia C Dimarco, RD LD
• Dexter Daniel Dimarco Jr., DC

• General Practice Dentistry in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.