Provider Demographics
NPI:1952437402
Name:KOBYLINSKI, JOSEPH ANTHONY (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:KOBYLINSKI
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 1:202 UNION ST
Mailing Address - Street 2:TITUSVILLE DENTAL ARTS
Mailing Address - City:TITUSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16354-1166
Mailing Address - Country:US
Mailing Address - Phone:814-827-6714
Mailing Address - Fax:814-827-2706
Practice Address - Street 1:381 CHESTNUT STREET
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:PA
Practice Address - Zip Code:16341
Practice Address - Country:US
Practice Address - Phone:814-589-7613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020574 L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist