Individual provider Active NPI

Thania Fabiola Maldonado Dubon, CRDH

  • Dental Hygienist
  • Lehigh Acres, FL
National Provider Identifier
1770458424
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
DH33197 Issued in FL
Practice address
3415 Lee Blvd
Lehigh Acres, FL 33971-1576
Phone
(239) 344-2385
Fax
(239) 368-0288
NPI assigned
Oct 10, 2025
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH33197 FL Primary

Addresses

Primary practice location

3415 Lee Blvd
Lehigh Acres, FL 33971-1576

Mailing address

3009 2ND St SW
Lehigh Acres, FL 33976-2505
Phone (239) 544-7476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DH33197FLMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1770458424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 2ND ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339762505",
            "telephone_number": "239-544-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 LEE BLVD",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339711576",
            "telephone_number": "239-344-2385",
            "fax_number": "239-368-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO DUBON",
        "first_name": "THANIA",
        "middle_name": "FABIOLA",
        "credential": "CRDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH33197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehigh Acres, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.