Greg J. Wrobleski, DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

2027 Issued in WV

Legal business name

GREG J. WROBLESKI, DDS PC

Practice address

1030 Morgantown Ave
Fairmont, WV 26554-4375

Phone

(304) 363-2020

Fax

(304) 363-8021

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Greg J Wrobleski, DDS

Title

Owner

Phone

(304) 363-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Thaddus Rusiecki, D.D.S. PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Morgantown, WV
  • NPI 1437184496
  NPD (past)
• David C. Stahr, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Fairmont, WV
  • NPI 1881853356
  NPD (past)

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1194995316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 MORGANTOWN AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544375",
            "telephone_number": "304-363-2020",
            "fax_number": "304-363-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MORGANTOWN AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265544375",
            "telephone_number": "304-363-2020",
            "fax_number": "304-363-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG J. WROBLESKI, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "WROBLESKI",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-363-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "2027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "GR9287592",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "GR9287591",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Marie Graham, MPT
• Bristol Gray
• Aubrey Greathouse, LAT,ATC
• Mary Jo Green
• Molly Beth Greene, MS CCC/SLP
• Kristen Grega
• Rebecca Lorraine Greynolds
• Gloria Griffith
• Tiffany Griffith
• Jacqueline Marie Grim, LGSW

• Oral and Maxillofacial Surgery (Dentist) in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Oral and Maxillofacial Surgery (Dentist) in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.