Provider Demographics
NPI:1356073936
Name:VOSHELL, KOBI (DDS)
Entity Type:Individual
Prefix:DR
First Name:KOBI
Middle Name:
Last Name:VOSHELL
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 1:2346 MORMON TREK BLVD STE 2600
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52246-4368
Mailing Address - Country:US
Mailing Address - Phone:319-339-4456
Mailing Address - Fax:319-339-4463
Practice Address - Street 1:2346 MORMON TREK BLVD STE 2600
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52246-4368
Practice Address - Country:US
Practice Address - Phone:319-339-4456
Practice Address - Fax:319-339-4463
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-099941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice