Healthcare Provider Details

I. General information

NPI: 1205855392
Provider Name (Legal Business Name): DR. DONALD GENE HOBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6691 W KEN CARYL AVE
LITTLETON CO
80128-5755
US

IV. Provider business mailing address

6701 S NEWCOMBE WAY
LITTLETON CO
80127-2974
US

V. Phone/Fax

Practice location:
  • Phone: 303-979-4994
  • Fax:
Mailing address:
  • Phone: 303-973-7538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number7029
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: