Garth Bobrowski, D.M.D.

Individual provider Active NPI General Practice Dentistry · Greensburg, KY

NPI 1508928078 · NPPES record last updated Jan 3, 2011

Key facts

NPI
1508928078
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
51331 (KY)
Practice address
125 Healthy Way
Greensburg, KY 42743-1435
Phone
(270) 932-3666
Fax
(270) 932-5458
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51331 KY Yes

Addresses

Primary practice location

125 Healthy Way
Greensburg, KY 42743-1435

Mailing address

125 Healthy Way
Greensburg, KY 42743-1435
Phone (270) 932-3666

Other identifiers

IdentifierTypeStateIssuer
60051331MedicaidKY

Other providers in Greensburg, KY

All providers in Greensburg, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.