DR. MARIE BEVERLY DIZON D.D.S. M.S. NPI 1275989659

NPI Information

NPI: 1275989659
Provider Name: DR. MARIE BEVERLY DIZON, D.D.S., M.S.
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
1516 STARDUST DR
WEST COVINA, CA
ZIP 91790
Phone: (626) 643-6911
Get Directions

DR. Marie Beverly Dizon, D.D.S., M.S. is a pediatric dentistry dentist in West Covina, CA. The provider is 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. DR. Marie Beverly Dizon, D.D.S., M.S. NPI is 1275989659. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1516 STARDUST DR
WEST COVINA, CA
ZIP 91790-558
Phone: (626) 643-6911

The enumeration date for this NPI number is 5/4/2016 and was last updated on 3/2/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		63959	CALIFORNIA	No
2	1223P0221X	Dentist	Pediatric Dentistry	63959	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	63959	OTHER	CALIFORNIA	CA DENTAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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