Provider Demographics
NPI:1841493467
Name:BOBINSKI, PAUL S (DMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:S
Last Name:BOBINSKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 CLASSIC ST
Mailing Address - Street 2:P O BOX 97
Mailing Address - City:HOOSICK FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12090-1326
Mailing Address - Country:US
Mailing Address - Phone:518-686-5132
Mailing Address - Fax:518-686-5132
Practice Address - Street 1:91 CLASSIC ST
Practice Address - Street 2:
Practice Address - City:HOOSICK FALLS
Practice Address - State:NY
Practice Address - Zip Code:12090-1326
Practice Address - Country:US
Practice Address - Phone:518-686-5132
Practice Address - Fax:518-686-5132
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031859122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist