Provider Demographics
NPI:1699830190
Name:OBOSKY, F JAMES SR (DDS)
Entity Type:Individual
Prefix:
First Name:F
Middle Name:JAMES
Last Name:OBOSKY
Suffix:SR
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 1:70 WEST ALLENDALE AV
Mailing Address - Street 2:SUITE C
Mailing Address - City:ALLENDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07401
Mailing Address - Country:US
Mailing Address - Phone:201-327-5642
Mailing Address - Fax:201-327-0659
Practice Address - Street 1:70 WEST ALLENDALE AV
Practice Address - Street 2:SUITE C
Practice Address - City:ALLENDALE
Practice Address - State:NJ
Practice Address - Zip Code:07401
Practice Address - Country:US
Practice Address - Phone:201-327-5642
Practice Address - Fax:201-327-0659
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1007748001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics