NPI 1164541108 · live from the CMS NPI Registry
David B. Nibouar, DMD, PA
Dentist, General Practice in Wilmington, DE. National Provider Identifier 1164541108, active.
NPI record
| NPI | 1164541108 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 5317 Limestone Rd, Wilmington, DE 19808 |
| Practice phone | 302-239-0502 |
| Enumerated | March 29, 2007 |
| Last updated | June 16, 2008 |
| Authorized official | David Nibouar, Dentist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | G1000818 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.