Individual
JOSEPH W. STOBBE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
715 E 3900 S STE 112, SALT LAKE CITY, UT 84107-2562
(801) 263-7711
(801) 263-9087
Mailing address
2979 KEMPNER RD, SALT LAKE CITY, UT 84109-3656
(801) 263-7711
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
135913
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
423076
UNITED CONCORDIA
UT
01
—
5792282
AETNA
UT
Enumeration date
07/18/2006
Last updated
07/08/2007
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