NPIMap

Organization Active NPI

George Petrescu-Boboc DDS PLLC

  • General Practice Dentistry
  • Lebanon, NH
National Provider Identifier
1114235785
Registry record updated Sep 17, 2010
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
03554 Issued in NH
Legal business name
GEORGE PETRESCU-BOBOC DDS PLLC
Practice address
2 Campbell St
Lebanon, NH 03766-1304
Phone
(603) 448-4200
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. George Petrescu-Boboc, DDS
Title
Owner/Dentist
Phone
(603) 448-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 03554 NH Primary

Addresses

Primary practice location

2 Campbell St
Lebanon, NH 03766-1304

Mailing address

2 Campbell St
Lebanon, NH 03766-1304
Phone (603) 448-4200

National Provider Directory

National Provider Directory

Locations

2 Campbell St
Lebanon, NH 03766
Phone (603) 448-4200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1114235785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CAMPBELL ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661304",
            "telephone_number": "603-448-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAMPBELL ST",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661304",
            "telephone_number": "603-448-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE PETRESCU-BOBOC DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "PETRESCU-BOBOC",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "603-448-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "03554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.