# PAT AND AMANDA DIBBLE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Dibble Family Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447600507
- **Authorized official:** DR. PATRICIO RAFAEL DIBBLE D.M.D. (MANAGER/DENTIST)
- **Authorized official phone:** (253) 838-4770

## Contact information

- **Practice address:** 33801 1ST WAY S STE 201, FEDERAL WAY, WA 98003-6219
- **Practice address phone:** (253) 838-4770
- **Mailing address:** 33801 1ST WAY S STE 201, FEDERAL WAY, WA 98003-6219
- **Mailing address phone:** (253) 838-4770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DE60482588 | WA | Yes |

## Other

- **Enumeration date:** 06/20/2016
- **Last updated:** 06/20/2016