Provider Demographics
NPI:1164863643
Name:COBB, ALYSSA REIGH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:REIGH
Last Name:COBB
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2647 BULVERDE RD
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-2105
Mailing Address - Country:US
Mailing Address - Phone:830-980-9004
Mailing Address - Fax:
Practice Address - Street 1:2647 BULVERDE RD
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-2105
Practice Address - Country:US
Practice Address - Phone:830-980-9004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX291161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice