Provider Demographics
NPI:1598958290
Name:ZOBELL, DWAYNE DEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:DWAYNE
Middle Name:DEL
Last Name:ZOBELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7356 STOCKMAN ST
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82009-6006
Mailing Address - Country:US
Mailing Address - Phone:307-637-7249
Mailing Address - Fax:
Practice Address - Street 1:7356 STOCKMAN ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82009-6006
Practice Address - Country:US
Practice Address - Phone:307-637-7249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-25
Last Update Date:2007-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY8471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice