Provider Demographics
NPI:1508008491
Name:LOBROT, REED (DDS)
Entity Type:Individual
Prefix:
First Name:REED
Middle Name:
Last Name:LOBROT
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 1:380 E 1500 S STE 203
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-3942
Mailing Address - Country:US
Mailing Address - Phone:435-654-4500
Mailing Address - Fax:435-654-3228
Practice Address - Street 1:380 E 1500 S STE 203
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-3942
Practice Address - Country:US
Practice Address - Phone:435-654-4500
Practice Address - Fax:435-654-3228
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT37373299221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice