| David Dibble Dds Pc | |
|
2550 N Main Street Central Lake MI 49622 | |
| (231) 544-8115 | |
| (231) 544-6012 |
| Full Name | David Dibble Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 2550 N Main Street, Central Lake, Michigan |
| Authorized Official Name and Position | David Lee Dibble (PRESIDENT) |
| Authorized Official Contact | 2315448115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Dibble Dds Pc Po Box 457 2550 N Main Street Central Lake MI 49622 Ph: (231) 544-8115 | David Dibble Dds Pc 2550 N Main Street Central Lake MI 49622 Ph: (231) 544-8115 |
| NPI Number | 1508958273 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508958273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2901013248 (Michigan) | Primary |