Healthcare Provider Details

I. General information

NPI: 1023201647
Provider Name (Legal Business Name): JOHN ARTHER DUBIEL D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2502 JAMACHA RD
EL CAJON CA
92019-4364
US

IV. Provider business mailing address

2523 NAVARRA DR UNIT 102
CARLSBAD CA
92009-7094
US

V. Phone/Fax

Practice location:
  • Phone: 619-212-7959
  • Fax:
Mailing address:
  • Phone: 760-331-4491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number27425
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: