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General NPI Number Information
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NPI Number | 1841505088
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Entity Type | Organization
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Legal Business Name | GREGG D. BOBIER, DMD, PC
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 1000 W UNIVERSITY DR SUITE 201
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City | ROCHESTER
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State | MI
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Zip | 48307-1873
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Country | US
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Telephone | 248-656-8880
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Fax | 248-656-9081
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Provider Business Mailing Address
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Address Line | 1000 W UNIVERSITY DR SUITE 201
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City | ROCHESTER
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State | MI
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Zip | 48307-1873
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Country | US
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Telephone | 248-656-8880
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Fax | 248-656-9081
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGG DAVID BOBIER
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Credential |
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Telephone | 248-656-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 2901013708
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 261QS0112X
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Taxonomy Name | Oral and Maxillofacial Surgery Clinic/Center
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License Number | 2901013708
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License Number State | MI
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