Provider Demographics
NPI:1467747113
Name:DUKES, DIANAH VICTORIA MARABLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DIANAH
Middle Name:VICTORIA MARABLE
Last Name:DUKES
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 S PLEASANTBURG DR STE E10
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2533
Mailing Address - Country:US
Mailing Address - Phone:864-233-7737
Mailing Address - Fax:
Practice Address - Street 1:225 S PLEASANTBURG DR STE E10
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2533
Practice Address - Country:US
Practice Address - Phone:864-233-7737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
SC80641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCZX8064Medicaid