Provider Demographics
NPI:1255031753
Name:HOBBS FAMILY DENTAL, PLLC
Entity type:Organization
Organization Name:HOBBS FAMILY DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:C
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-572-1168
Mailing Address - Street 1:612 FAYETTE ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1797
Mailing Address - Country:US
Mailing Address - Phone:610-572-1168
Mailing Address - Fax:
Practice Address - Street 1:612 FAYETTE ST STE 2B
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1797
Practice Address - Country:US
Practice Address - Phone:215-873-6072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental