Provider Demographics
NPI:1235230012
Name:DOBRIN, DENNIS J (DDS)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:J
Last Name:DOBRIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S GREENLEAF ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-3369
Mailing Address - Country:US
Mailing Address - Phone:847-662-3100
Mailing Address - Fax:847-662-3125
Practice Address - Street 1:101 S GREENLEAF ST
Practice Address - Street 2:SUITE E
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-3369
Practice Address - Country:US
Practice Address - Phone:847-662-3100
Practice Address - Fax:847-662-3125
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist