Bobbitt, Tilden Dean

Bobbitt, Tilden Dean is an individual health care provider with primary practice located at 2801 Dudley Ave Suite C, Parkersburg WV 26101-2105. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bobbitt, Tilden Dean can be contacted via phone (304) 428-2800.

Contact Information

Primary practice address
2801 Dudley Ave Suite C Parkersburg WV 26101-2105
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30-02-0974 Ohio
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 3409-105 West Virginia

Profile Details

NPI number 1861537805
LBN Legal business name Bobbitt, Tilden Dean
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Feb 4th, 2013 - about 11 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 1861537805 NPPES
West Virginia MEDICAID 8000003000

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