DR. JOSEPH SHINE DIBENEDETTO DMD
NPI 1790287506
Dentist - Pediatric Dentistry in Princess Anne, MD

Active since March 07, 2018
12165 ELM ST, PRINCESS ANNE, MD 21853(410) 651-5151(410) 651-4256 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2018, May 14, 2018, Mar 7, 2018 (3 updates tracked since 2018).

About Dr. Joseph Shine Dibenedetto Dmd NPPES

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

DR. JOSEPH SHINE DIBENEDETTO DMD (NPI 1790287506) is an individual pediatric dentistry provider in Princess Anne, Maryland, licensed in Maryland (LL834) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1790287506
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JOSEPH SHINE DIBENEDETTOCredential: DMD
Location Address12165 ELM STPrincess Anne, MD 21853
Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654
Fax(410) 651-4256
Sole ProprietorNo
Enumeration DateMarch 7, 2018
Last NPPES UpdateJune 25, 20183 updates tracked since enumeration
NPI 1790287506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in MD · LL834
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
12165 ELM ST, Princess Anne, MD 21853

Other Identifiers 1

Medicaid119591300MD

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853

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 Joseph Dibenedetto's NPI number?

The NPI number for Joseph Dibenedetto is 1790287506. It was assigned to this individual provider in the NPPES registry on March 7, 2018.

Where is Joseph Dibenedetto located?

Joseph Dibenedetto practices at 12165 Elm St, Princess Anne, MD 21853. The listed phone number is (410) 651-5151.

What is Joseph Dibenedetto's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Joseph Dibenedetto accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list Joseph Dibenedetto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joseph Dibenedetto was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.