MEDICARE: DR. MICHAEL N SOBEL DMD

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	DS015246-2	PA

General Provider Information

NPI Number	:	1871703041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL N SOBEL DMD

Provider Business Mailing Address
First Line	:	5873 FORBES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1601
Country	:	US
Telephone Number	:	412-421-0401
Fax Number	:	412-421-4002

Provider Business Practice Location Address
First Line	:	5873 FORBES AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1601
Country	:	US
Telephone Number	:	412-421-0401
Fax Number	:	412-421-4002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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