Provider Demographics
NPI:1447292974
Name:BOBBITT, SCOTT F (DMD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:F
Last Name:BOBBITT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 ALLDS ST
Mailing Address - Street 2:STE 6
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-4758
Mailing Address - Country:US
Mailing Address - Phone:603-882-3001
Mailing Address - Fax:
Practice Address - Street 1:76 ALLDS ST
Practice Address - Street 2:STE 6
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-4758
Practice Address - Country:US
Practice Address - Phone:603-882-3001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH25621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH2562OtherLISC. #
NH2562OtherLISC. #