Provider Demographics
NPI:1518247923
Name:TOBIN, DENNIS M (B-HIS)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:M
Last Name:TOBIN
Suffix:
Gender:M
Credentials:B-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:696 PETALUMA BLVD N
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-2847
Mailing Address - Country:US
Mailing Address - Phone:707-763-3161
Mailing Address - Fax:707-763-9829
Practice Address - Street 1:696 PETALUMA BLVD N
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-2847
Practice Address - Country:US
Practice Address - Phone:707-763-3161
Practice Address - Fax:707-763-9829
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist