Individual
DR. GREGG DAVID BOBIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5838 METRO WAY SW, WYOMING, MI 49519-9619
(269) 966-5600
Mailing address
5577 SAINT ANDREW CIR, CLARKSTON, MI 48348-4831
(248) 227-8305
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2901013708
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
29091013708
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4473123
—
MI
05
—
12-4473099
—
MI
01
—
5637022
BLUE CROSS
—
Enumeration date
10/17/2006
Last updated
03/15/2024
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