Bobotis, Harry Nick

Bobotis, Harry Nick is an individual health care provider with primary practice located at 112 Vilseck Road Bldg 419-2, Fort Stewart GA 31315. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Bobotis, Harry Nick can be contacted via phone (912) 257-7056.

Contact Information

Primary practice address
112 Vilseck Road Bldg 419-2 Fort Stewart GA 31315
Phone: (912) 257-7056
Fax: (912) 257-7055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 3490 South Carolina
Dental Providers / Dentist 122300000X DN011989 Georgia

Profile Details

NPI number 1215981352
LBN Legal business name Bobotis, Harry Nick
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215981352 NPPES
South Carolina MEDICAID Z34909

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