Dawn Marie Divano, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010155 Issued in WA

Practice address

7500 Old Military Rd NE
Suite 201
Bremerton, WA 98311-3241

Phone

(360) 692-4705

Fax

(360) 692-4846

NPI assigned

Jan 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Meadowdale Dental Center

  • Dentist
  • Bremerton, WA
  • NPI 1689188336
  NPD (past) Authorized official

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790755981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 NE ELLINOR WAY",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708027",
            "telephone_number": "360-779-5473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 OLD MILITARY RD NE",
            "address_2": "SUITE 201",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113241",
            "telephone_number": "360-692-4705",
            "fax_number": "360-692-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVANO",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Diluccio, HEALTH COACH
• Sherrie Karen Dinguss, MA
• Cecile Giang Que Dinh, MD
• Janina H. Dinio, MSW, LICSW
• Dispatch Contract LLC (KNM Transport)
• Robin Lee Dixon
• Kim Thien DO, DDS
• Nancy Jean Dobies, LMP
• Shannon Dobson, CBT
• Chelsea Docena

• General Practice Dentistry in Bremerton, WA
• Providers in Bremerton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.