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Contact Information

MATTHEW L BOBBERA, DDS
306 PROSPERITY RD
SUITE 201
KNOXVILLE, TN37923-4700
 Phone: 865-769-0886
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthodontics

1223P0700X
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MATTHEW L BOBBERA · (Male)

NPI # 1447552047
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 12/02/2010
Last updated 07/10/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 9890
  • WV License # 3923
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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