| Drs B Noorbakhsh And T Dean Bobbitt Pllc | |
|
2801 Dudley Ave Suite C Parkersburg WV 26101-2105 | |
| (304) 428-2800 | |
| (304) 428-5227 |
| Full Name | Drs B Noorbakhsh And T Dean Bobbitt Pllc |
|---|---|
| Speciality | Dentist |
| Location | 2801 Dudley Ave, Parkersburg, West Virginia |
| Authorized Official Name and Position | Tilden Dean Bobbitt (VICE PRESIDENT) |
| Authorized Official Contact | 3044282800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs B Noorbakhsh And T Dean Bobbitt Pllc 2801 Dudley Ave Suite C Parkersburg WV 26101-2105 Ph: (304) 428-2800 | Drs B Noorbakhsh And T Dean Bobbitt Pllc 2801 Dudley Ave Suite C Parkersburg WV 26101-2105 Ph: (304) 428-2800 |
| NPI Number | 1174658850 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 01/24/2024 |
| Medicare PECOS PAC ID | 8426131939 |
|---|---|
| Medicare Enrollment ID | O20080207000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174658850 | NPI | - | NPPES |
| 3810006410 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Babak D Noorbakhsh |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1780729251 PECOS PAC ID: 2264515279 Enrollment ID: I20080617000454 |
| Provider Name | Tilden Bobbitt |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1861537805 PECOS PAC ID: 8628151636 Enrollment ID: I20080617000686 |
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