Provider Demographics
NPI:1447410873
Name:BOBROWSKI, WHITNEY R (DMD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:R
Last Name:BOBROWSKI
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 1:125 HEALTHY WAY
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:42743-1435
Mailing Address - Country:US
Mailing Address - Phone:270-932-3666
Mailing Address - Fax:270-932-5458
Practice Address - Street 1:125 HEALTHY WAY
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:KY
Practice Address - Zip Code:42743-1435
Practice Address - Country:US
Practice Address - Phone:270-932-3666
Practice Address - Fax:270-932-5458
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY86221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice