Provider Demographics
NPI:1508983081
Name:COBB, HOWARD PERRY III (DDS)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:PERRY
Last Name:COBB
Suffix:III
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 1:2605 MOSES GRANDY TRL
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-6712
Mailing Address - Country:US
Mailing Address - Phone:757-558-0600
Mailing Address - Fax:757-558-1729
Practice Address - Street 1:2605 MOSES GRANDY TRL
Practice Address - Street 2:SUITE B
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-6712
Practice Address - Country:US
Practice Address - Phone:757-558-0600
Practice Address - Fax:757-558-1729
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA7814122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist