DR. HARRY NICK BOBOTIS (NPI# 1215981352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215981352 |
| Entity Type | Individual |
| Full Name | DR. HARRY NICK BOBOTIS |
| Credential | DMD |
| Practice Address |
112 Vilseck Road Bldg 419-2 Fort Stewart GA 31315 |
| Practice Telephone | (912) 257-7056 |
| Practice Fax Number | 9122577055 |
| Mailing Telephone | (912) 257-7056 |
| Mailing Fax Number | 9122577055 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN011989 | GA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
3490 | SC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Z34909 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5-c Cleveland Court, Greenville, SC 29607 | 8642711220 | 8642717267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013053552 | Harry George Bobotis | Dentist | 870 Cleveland St, Suite 2-b, Greenville, SC 29601-4427 | 2007-01-30 |
| Street Address |
112 VILSECK ROAD BLDG 419-2 |
| City | FORT STEWART |
| State | GA |
| Zip Code | 31315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588188791 | Nadia E Jeter | Social Worker | 140 Skyland Spruce Dr, Fort Stewart, GA 31315 | 2017-07-29 |
| 1740739358 | Graham Taylor | Physician Assistant | 8435 Vanguard Rd., Fort Stewart, GA 31315 | 2016-09-23 |
| 1205289865 | Glenda Ann Reed-withers | Dental Hygienist | 343 Warrior Road Building 2115, Fort Stewart, GA 31315 | 2016-07-19 |
| 1275940686 | Tarhonda Leah Ingram | Dentist | 112 Vilseck Road, Bldg. 419-2, Ft. Stewart, GA 31315 | 2014-07-17 |
| 1053668830 | Lee Joshua Martin | Dentist | 112 Vilseck Rd, Fort Stewart, GA 31315 | 2012-08-10 |
| 1497866248 | Henry J Braner | Physician Assistant | 16th Street Building 13514, Youth Challange Academy, Ft Stewart, GA 31315 | 2006-08-31 |
| 1033665393 | Christopher David Johnson | Specialist/Technologist, Other | 1061 Harmon Ave, Fort Stewart, GA 31315 | 2016-08-28 |
| 1760886410 | Juliann Roman | Emergency Medical Technician, Basic | 1061 Harmon Ave, Fort Stewart, GA 31315 | 2014-10-09 |
| 1760754485 | Angelica Cecilia Kjonnerod | Physician Assistant | 192 Lindquist Road, Bldg 412, Fort Stewart, GA 31315 | 2012-01-27 |
| 1932478047 | Sarah G Talone | Registered Nurse | 6 Red Bud Dr, Fort Stewart, GA 31315-1056 | 2011-12-19 |
| Find all providers in zip 31315 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073099826 | Ross Emerick | Dentist | 351 West 6th Street, Fort Stewart, GA 31314 | 2018-07-16 |
| 1588194088 | John W Fleischmann | Dentist | U.S. Army Dental Health Activity, 351 West 6th Street, Fort Stewart, GA 31314-5641 | 2017-06-15 |
| 1992152904 | Mark Robert Rehermann | Dentist | 351 W. 6th Street, Bldg 440, Fort Stewart, GA 31314 | 2016-05-19 |
| 1194194431 | Bryan Packard | Dentist | 343 Warrior Rd, Bldg 2115, Fort Stewart, GA 31314 | 2015-09-16 |
| 1932577723 | Carter Weber | Dentist | 531 East 9th Street, Building 357, Fort Stewart, GA 31314 | 2015-09-10 |
| 1194150946 | Sergey Gazarov | Dentist | 351 W 6th Street, Bldg 440, Usa Dental Health Activity, Fort Stewart, GA 31314 | 2013-09-12 |
| 1073945788 | Justin M Hoag | Dentist | 351 West 6th St., Us Army Dental Activity Attn: Nancy Posey-edwards, Fort Stewart, GA 31314-4704 | 2013-08-05 |
| 1770920910 | Carleen Burt Sells | Dentist | Us Army Dentac, 351 W 6th Street, Fort Stewart, GA 31314 | 2013-05-29 |
| 1144274051 | Neil Evans Morey | Dentist | 351 W 6th St, Bldg 440, Us Army Dental Activity, Fort Stewart, GA 31314-0001 | 2006-05-22 |
| 1376591552 | Brian Robert Bickel | Dentist | 251 West 6th Street, Bldg 440, Fort Stewart, GA 31314-0001 | 2006-05-04 |
| Find all providers in FORT STEWART | ||||
| City | FORT STEWART |
| Zip Code | 31315 |
Please comment or provide details below to improve the information on DR. HARRY NICK BOBOTIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.