Paul D. Dibley, D.d.s., S.c.

NPI #1720078512 in Shawano, Wisconsin

Provider Information

NPI Number: 1720078512
Entity Type: Organization
Organization Name: Paul D. Dibley, D.d.s., S.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 24, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 920 E 5TH ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-2212
Phone: (715) 526-3315

Authorized Official

Name: DR. PAUL D. DIBLEY, D.D.S.
Title: PRESIDENT
Phone: (715) 526-3315

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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