Drs B Noorbakhsh And T Dean Bobbitt Pllc | |
2801 Dudley Ave Suite C Parkersburg WV 26101-2105 | |
(304) 428-2800 | |
(304) 428-5227 |
Full Name | Drs B Noorbakhsh And T Dean Bobbitt Pllc |
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Speciality | Dentist |
Location | 2801 Dudley Ave, Parkersburg, West Virginia |
Authorized Official Name and Position | Tilden Dean Bobbitt (VICE PRESIDENT) |
Authorized Official Contact | 3044282800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Drs B Noorbakhsh And T Dean Bobbitt Pllc 2801 Dudley Ave Suite C Parkersburg WV 26101-2105 Ph: (304) 428-2800 | Drs B Noorbakhsh And T Dean Bobbitt Pllc 2801 Dudley Ave Suite C Parkersburg WV 26101-2105 Ph: (304) 428-2800 |
NPI Number | 1174658850 |
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Provider Enumeration Date | 02/22/2007 |
Last Update Date | 01/24/2024 |
Medicare PECOS PAC ID | 8426131939 |
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Medicare Enrollment ID | O20080207000007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174658850 | NPI | - | NPPES |
3810006410 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Babak D Noorbakhsh |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1780729251 PECOS PAC ID: 2264515279 Enrollment ID: I20080617000454 |
Provider Name | Tilden Bobbitt |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1861537805 PECOS PAC ID: 8628151636 Enrollment ID: I20080617000686 |
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