Healthcare Provider Details

I. General information

NPI: 1164697330
Provider Name (Legal Business Name): NEIL GARY DOBRO D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 E 1ST AVE SUITE A
DENVER CO
80206-7510
US

IV. Provider business mailing address

3737 E 1ST AVE SUITE A
DENVER CO
80206-7510
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-9018
  • Fax: 303-399-1108
Mailing address:
  • Phone: 303-399-9018
  • Fax: 303-399-1108

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number104214
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: