Provider Demographics
NPI:1700864931
Name:DOYLE, DIANE L (DMD)
Entity Type:Individual
Prefix:DR
First Name:DIANE
Middle Name:L
Last Name:DOYLE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1173 WHIPPLE ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02841-1632
Mailing Address - Country:US
Mailing Address - Phone:619-218-9297
Mailing Address - Fax:
Practice Address - Street 1:1173 WHIPPLE ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02841-1632
Practice Address - Country:US
Practice Address - Phone:619-218-9297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-024138L1223E0200X
RIDEN026071223E0200X
MA193211223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics