Provider Demographics
NPI:1831316504
Name:KOBIL, STEPHANIE B (DMD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:B
Last Name:KOBIL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 E MUNTZ AVE
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-3322
Mailing Address - Country:US
Mailing Address - Phone:724-285-3208
Mailing Address - Fax:
Practice Address - Street 1:257 PITTSBURGH RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16002-3953
Practice Address - Country:US
Practice Address - Phone:724-282-1404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025957L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry