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Contact Information

HARRY N BOBOTIS, DMD
112 VILSECK ROAD
BLDG 419-2
FORT STEWART, GA31315
 Phone: 912-257-7056
 Fax: 912-257-7055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for HARRY N BOBOTIS · (Male)

NPI # 1215981352
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 05/22/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA License # DN011989
  • SC License # 3490
  • SC Medicaid Z34909
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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