Provider Demographics
NPI:1578536934
Name:COBB, DAVID JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:COBB
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:975 N MUR LEN
Mailing Address - Street 2:STE A
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062
Mailing Address - Country:US
Mailing Address - Phone:913-829-0981
Mailing Address - Fax:813-782-1764
Practice Address - Street 1:975 N MUR LEN
Practice Address - Street 2:STE A
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062
Practice Address - Country:US
Practice Address - Phone:913-829-0981
Practice Address - Fax:813-782-1764
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS67271223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry