Provider Demographics
NPI:1700802527
Name:BOBIER, CLIFFORD EUGENE (DDS)
Entity Type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:EUGENE
Last Name:BOBIER
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 1:1910 56TH AVE
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-2945
Mailing Address - Country:US
Mailing Address - Phone:970-339-9770
Mailing Address - Fax:970-339-9748
Practice Address - Street 1:1910 56TH AVE
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-2945
Practice Address - Country:US
Practice Address - Phone:970-339-9770
Practice Address - Fax:970-339-9748
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice