Provider Demographics
NPI:1104041441
Name:DANIEL R. HOBBS, D.D.S.,P.A.
Entity Type:Organization
Organization Name:DANIEL R. HOBBS, D.D.S.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-378-1401
Mailing Address - Street 1:3619 LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-6104
Mailing Address - Country:US
Mailing Address - Phone:336-378-1401
Mailing Address - Fax:336-378-0411
Practice Address - Street 1:3619 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-6104
Practice Address - Country:US
Practice Address - Phone:336-378-1401
Practice Address - Fax:336-378-0411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3931122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty