Provider Demographics
NPI:1518170141
Name:SCOTT F BOBBITT DMD P A
Entity Type:Organization
Organization Name:SCOTT F BOBBITT DMD P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUS MGRCFOCLERK OF CORP
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BOBBITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-882-3001
Mailing Address - Street 1:76 ALLDS ST STE 6
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-4758
Mailing Address - Country:US
Mailing Address - Phone:603-882-3001
Mailing Address - Fax:603-882-3683
Practice Address - Street 1:76 ALLDS ST STE 6
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-4704
Practice Address - Country:US
Practice Address - Phone:603-882-3001
Practice Address - Fax:603-882-3683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2562122300000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty