Individual provider · Type 1 NPI

Rafik Dib, DDS, MSD, PHARMD.

Periodontics · Davenport, FL

NPI number 1902142722 Active

Practice location

2600 Jacks Rd
Davenport, FL 33897-8007

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X19121 (LA)
Periodontics Primary 1223P0300XDN22644 (FL)
Periodontics 1223P0300X6475 (LA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1902142722

Rafik Dib, DDS, MSD, PHARMD.'s National Provider Identifier is 1902142722, issued on Dec 26, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Davenport, FL. The record was last updated on Dec 11, 2025.