Individual provider Active NPI

Tilden Dean Bobbitt, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Marietta, OH
National Provider Identifier
1861537805
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30-02-0974 Issued in OH
Practice address
1305 Greene St
Marietta, OH 45750-9172
Phone
(740) 376-0555
Fax
(740) 376-0566
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 3409-105 WV
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30-02-0974 OH Primary

Addresses

Primary practice location

1305 Greene St
Marietta, OH 45750-9172

Mailing address

1305 Greene St
Marietta, OH 45750-9172
Phone (740) 376-0555

Other identifiers 1

IdentifierTypeStateIssuer
8000003000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080617000686 WV Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 8628151636 Reassigns benefits to 1 organization
I20080618000661 OH Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 8628151636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS B Noorbakhsh and T Dean Bobbitt PLLCGroup PAC ID 8426131939, 2 clinicians

Practice addresses (Care Compare)

1305 Greene St
Marietta, OH 45750-9172
Phone (740) 376-0555

2801 Dudley Ave
Suite C
Parkersburg, WV 26101-2102
Phone (304) 428-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3409-105WVMDOral and Maxillofacial Surgery (Dentist)

Interoperability endpoints

  • Direct secure messaging: t.bobbitt@mmhs.medicity.net

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1861537805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 GREENE ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509172",
            "telephone_number": "740-376-0555",
            "fax_number": "740-376-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 GREENE ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509172",
            "telephone_number": "740-376-0555",
            "fax_number": "740-376-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBBITT",
        "first_name": "TILDEN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WV",
            "license": "3409-105",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30-02-0974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8000003000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.