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PAUL D. DIBLEY, D.D.S., S.C.
NPI 1720078512
Dentist - General Practice in Shawano, WI

Active since October 24, 2005
920 E 5TH ST, SHAWANO, WI 54166(715) 526-3315 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL D. DIBLEY, D.D.S., S.C. (NPI 1720078512) is a healthcare organization registered as a general practice in Shawano, Wisconsin and active in the NPI registry since October 2005. The organization lists Paul D. Dibley, President, as its authorized official.

NPPES Registry Identity

NPI1720078512
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePAUL D. DIBLEY, D.D.S., S.C.
Location Address920 E 5TH STShawano, WI 54166-2212
Mailing Address920 E 5th StShawano, WI 54166-2212
Phone(715) 526-3315
Organization SubpartNo
Authorized OfficialPaul D. DibleyPresident · (715) 526-3315
Enumeration DateOctober 24, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720078512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 5001351015
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
920 E 5TH ST, Shawano, WI 54166
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Other Identifiers 1

Medicaid33617100WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK E. HEIDEMAN D.D.S.
Dentist
920 E 5TH ST
SHAWANO, WI 54166
Shawano County (715) 524-2581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul D. Dibley, D.D.S., S.C.'s NPI number?

The NPI number for Paul D. Dibley, D.D.S., S.C. is 1720078512. It was assigned to this organization in the NPPES registry on October 24, 2005.

Where is Paul D. Dibley, D.D.S., S.C. located?

Paul D. Dibley, D.D.S., S.C. is located at 920 E 5th St, Shawano, WI 54166. The listed phone number is (715) 526-3315.

What is Paul D. Dibley, D.D.S., S.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Paul D. Dibley, D.D.S., S.C. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.