Provider Demographics
NPI:1477712149
Name:SOBLER, IAN D (DDS)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:D
Last Name:SOBLER
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 1:339 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-4300
Mailing Address - Country:US
Mailing Address - Phone:845-634-3561
Mailing Address - Fax:845-634-0619
Practice Address - Street 1:339 N MAIN ST
Practice Address - Street 2:STE 7-8
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-4300
Practice Address - Country:US
Practice Address - Phone:845-634-3561
Practice Address - Fax:845-634-0619
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50 0529031223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics