Provider Demographics
NPI:1164697330
Name:DOBRO, NEIL GARY (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:GARY
Last Name:DOBRO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 E 1ST AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-7510
Mailing Address - Country:US
Mailing Address - Phone:303-399-9018
Mailing Address - Fax:303-399-1108
Practice Address - Street 1:3737 E 1ST AVE
Practice Address - Street 2:SUITE A
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-7510
Practice Address - Country:US
Practice Address - Phone:303-399-9018
Practice Address - Fax:303-399-1108
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1042141223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics