MEDICARE: DANIEL R. HOBBS, D.D.S.,P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	3931	NC

General Provider Information

NPI Number	:	1104041441
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIEL R. HOBBS, D.D.S.,P.A.

Provider Business Mailing Address
First Line	:	3619 LIBERTY RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-6104
Country	:	US
Telephone Number	:	336-378-1401
Fax Number	:	336-378-0411

Provider Business Practice Location Address
First Line	:	3619 LIBERTY RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-6104
Country	:	US
Telephone Number	:	336-378-1401
Fax Number	:	336-378-0411

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DANIEL RALPH HOBBS
Credential	:	D.D.S.
Telephone Number	:	336-378-1401

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	08/22/2020

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