Individual provider Active NPI

Vlad Cobzaru, DMD

  • General Practice Dentistry
  • Savannah, GA
National Provider Identifier
1821725011
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN122761 Issued in GA
Practice address
723 E 65TH St
Savannah, GA 31405-4408
Phone
(912) 355-0555
NPI assigned
Aug 7, 2022
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11944 TN
General Practice Dentistry 1223G0001X DN122761 GA Primary

Addresses

Primary practice location

723 E 65TH St
Savannah, GA 31405-4408

Mailing address

125 Southern Junction Blvd Ste 701
Pooler, GA 31322-2216
Phone (912) 330-4545

Other practice location 1

1212 Dodds Ave
Chattanooga, TN 37404-4754
Phone (423) 206-9641

Other practice location 2

429 N DuVal St
Claxton, GA 30417-5939
Phone (912) 731-1011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11944TNMDDentist
DN122761GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Dental Center of Cleveland, LLC CurrentSince Jun 16, 2024 Accepting new patients
Revive Dental Tennessee CurrentSince Jan 12, 2025 Accepting new patients
Towne Lake Dental Group, LLC General Practice PastSince Sep 1, 2023 Accepting new patients
Robert a Bosque Jr DMD PC General Practice PastSince Sep 17, 2023 Accepting new patients

Locations

1212 Dodds Ave
Chattanooga, TN 37404
Phone (423) 206-9641

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1659830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1821725011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SOUTHERN JUNCTION BLVD STE 701",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222216",
            "telephone_number": "912-330-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E 65TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054408",
            "telephone_number": "912-355-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 Dodds Ave",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374044754",
            "country_code": "US",
            "telephone_number": "423-206-9641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "429 N DuVal St",
            "address_purpose": "LOCATION",
            "city": "Claxton",
            "state": "GA",
            "postal_code": "304175939",
            "country_code": "US",
            "telephone_number": "912-731-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBZARU",
        "first_name": "VLAD",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-07",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11944",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.