Provider Demographics
NPI:1154626760
Name:COBHAM & BOYD, PLLC
Entity type:Organization
Organization Name:COBHAM & BOYD, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:JOVANNA
Authorized Official - Last Name:COBHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-586-1919
Mailing Address - Street 1:2728 ANN ELIZABETH DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-5111
Mailing Address - Country:US
Mailing Address - Phone:336-586-1919
Mailing Address - Fax:
Practice Address - Street 1:2728 ANN ELIZABETH DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5111
Practice Address - Country:US
Practice Address - Phone:336-586-1919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COBHAM & BOYD, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-01-13
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC69701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty