Provider Demographics
NPI:1578756151
Name:HOBSON, DAVID CLARK (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CLARK
Last Name:HOBSON
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 MINNIE ST STE B
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99701-3000
Mailing Address - Country:US
Mailing Address - Phone:907-457-7878
Mailing Address - Fax:907-457-4509
Practice Address - Street 1:114 MINNIE ST
Practice Address - Street 2:SUITE B
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99701-3000
Practice Address - Country:US
Practice Address - Phone:907-457-7878
Practice Address - Fax:907-457-4509
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK15331223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics