Provider Demographics
NPI:1790839744
Name:BILL CHOBY DMD PC
Entity Type:Organization
Organization Name:BILL CHOBY DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLEAM
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHOBY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-539-7685
Mailing Address - Street 1:5840 STATE ROUTE 981
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-5385
Mailing Address - Country:US
Mailing Address - Phone:724-539-7685
Mailing Address - Fax:
Practice Address - Street 1:5840 STATE ROUTE 981
Practice Address - Street 2:SUITE 104
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-5385
Practice Address - Country:US
Practice Address - Phone:724-539-7685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019460-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty