Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dietrich Dental Services PA

Organization Dentist · NPI 1003185240

Dietrich Dental Services PA provides Dentist services in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17178 Toledo Blade Blvd
Port Charlotte, FL 33954-2626 Not confirmed with CMS for 14 years — call before visiting
Phone: (941) 625-7877
Fax: (941) 625-4349
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN9422 (FL)

Record details

NPI number1003185240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Dietrich — President · (941) 625-7877
NPI enumeratedDecember 16, 2011
Last updated in NPPESDecember 16, 2011
Mailing address17178 Toledo Blade Blvd, Port Charlotte, FL 33954-2626

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