Provider Demographics
NPI:1588643506
Name:DOBBERT, DEAN R (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DEAN
Middle Name:R
Last Name:DOBBERT
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-1675
Mailing Address - Country:US
Mailing Address - Phone:302-645-3499
Mailing Address - Fax:
Practice Address - Street 1:19161 HEALTHY WAY UNIT 100
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-4491
Practice Address - Country:US
Practice Address - Phone:302-645-3010
Practice Address - Fax:302-645-3814
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10003096207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE000990601Medicaid
E13482Medicare UPIN
DE000990601Medicaid