Rafik Dib, DDS, MSD, PHARMD.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN22644 Issued in FL

Practice address

2600 Jacks Rd
Davenport, FL 33897-8007

Phone

(863) 888-3374

NPI assigned

Dec 26, 2012

Last updated

Dec 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Rafik Dib, DDS, LLC

  • Periodontics
  • Clearwater, FL
  • NPI 1619575057
  NPD Authorized official
• Rafik Dib, DDS, LLC

  dba AVA Dental Implants Periodontics

  • Periodontics
  • Davenport, FL
  • NPI 1740154004
  NPD Authorized official

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1902142722",
    "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",
            "telephone_number": "863-888-3374"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIB",
        "first_name": "RAFIK",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD, PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-26",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN22644",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "LA",
            "license": "6475",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "19121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean-Claude Desgranges, M.D.
• Ryan Desmarais, P.T.
• Linette Diaz Vizcarrondo
• Isabel Diaz
• Sandra R Diaz
• Tabitha Dieujuste, APRN
• Divine Heart Nursing LLC
• Divinity Premier Homecare LLC
• Alexander Viet Doan
• Lashandra Dodard, PTA

• Periodontics in Davenport, FL
• Providers in Davenport, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.