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GREG J. WROBLESKI DDS PC NPI 1194995316


NPI Information

NPI: 1194995316
Provider Name: GREG J. WROBLESKI, DDS PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1030 MORGANTOWN AVE
FAIRMONT, WV
ZIP 26554
Phone: (304) 363-2020
Get Directions

GREG J. WROBLESKI, DDS PC is an oral and maxillofacial surgery dentist in Fairmont, WV. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. GREG J. WROBLESKI, DDS PC NPI is 1194995316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1030 MORGANTOWN AVE
FAIRMONT, WV
ZIP 26554-375
Phone: (304) 363-2020
Fax: (304) 363-8021

The provider's authorized official is Greg J Wrobleski .
The authorized official title is Owner and has the following contact phone number (304) 363-2020.

The enumeration date for this NPI number is 3/4/2008 and was last updated on 4/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery2027WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR9287592OTHERWEST VIRGINIAMEDICARE GROUP PIN
2GR9287591OTHERWEST VIRGINIAMEDICARE GROUP PIN
3WR0476242MEDICARE PINWEST VIRGINIA
4T32314MEDICARE UPINWEST VIRGINIA
5WR0476241MEDICARE PINWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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