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NPI Code Detail

MEDICARE: DAVID DOBBS DMD, P.C.

MEDICARE: DAVID DOBBS DMD, P.C.
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
1261QD0000XDental Clinic/Center3297AL

General Provider Information

NPI Number : 1558632018
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID DOBBS DMD, P.C.
Provider Business Mailing Address
First Line : 417 MAIN ST
Second Line :
City : TRUSSVILLE
State : AL
Zip : 35173-1418
Country : US
Telephone Number : 205-655-4300
Fax Number :
Provider Business Practice Location Address
First Line : 417 MAIN ST
Second Line :
City : TRUSSVILLE
State : AL
Zip : 35173-1418
Country : US
Telephone Number : 205-655-4300
Fax Number :
Authorized Official
Title or Position : DENTIST-OWNER
Name : DR. STEPHEN DAVID DOBBS
Credential : DMD
Telephone Number : 205-655-4300
Provider Enumeration Date : 01/15/2012
Last Update Date : 01/15/2012

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