MIKHAIL YUREVICH KOBAKOV (NPI# 1356784375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356784375 |
| Entity Type | Individual |
| Full Name | MIKHAIL YUREVICH KOBAKOV |
| Other Name | MICHAEL YURY KOBAKOV |
| Credential | DMD |
| Practice Address |
2 Jungle Rd Leominster MA 01453 |
| Mailing Address |
2 Jungle Rd Leominster MA 01453-5208 |
| Practice Telephone | 9785348300 |
| Mailing Telephone | 9785348300 |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN1857895 | MA | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
11809 | CT | Dental Providers |
| Street Address |
2 JUNGLE RD |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730163320 | Carmine Colarusso | Specialist | 2 Jungle Rd, Leominster, MA 01453 | 2005-12-06 |
| 1740455153 | Shant Baran | Dentist | 2 Jungle Rd, Leominster, MA 01453-5208 | 2008-04-25 |
| 1629176623 | Central Mass Oral and Maxillofacial Surgery, P.C. | Specialist | 2 Jungle Rd, Leominster, MA 01453 | 2006-09-21 |
| 1538143128 | James F. Connors II | Dentist | 2 Jungle Rd, Leominster, MA 01453-5208 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740455153 | Shant Baran | Dentist | 2 Jungle Rd, Leominster, MA 01453-5208 | 2008-04-25 |
| 1538143128 | James F. Connors II | Dentist | 2 Jungle Rd, Leominster, MA 01453-5208 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114573508 | Newton Dentistry PC | Dentist | 73 Lexington Street, Suite 204, Newton, MA 02466 | 2019-08-13 |
| 1700432143 | Middleboro Oral Surgeons, PC | Dentist | 47 Bedford St Unit 3, Middleboro, MA 02346-1047 | 2019-08-12 |
| 1508420621 | Nantucket Oral Surgery Pllc | Dentist | 19 1/2 Surfside Drive, Nantucket, MA 02554 | 2019-04-24 |
| 1750844080 | C.m.f.-cranio-maxillofacial Surgery Associates | Dentist | 366 Broadway Ste 100, Somerville, MA 02145-2812 | 2019-04-12 |
| 1669938130 | Milagros Serrano Dds, PC | Dentist | 1842 Beacon St Ste 303, Brookline, MA 02445-1922 | 2019-02-20 |
| 1669960027 | New England Family Dentistry,pc | Dentist | 366 Cooley St, Springfield, MA 01128-1144 | 2018-05-01 |
| 1528592029 | Jaegak Kim | Dentist | 850 Harrison Ave Fl 6, Boston, MA 02118-4001 | 2017-04-12 |
| 1609322452 | Lowell Oral Surgery Associates, Inc | Dentist | 26 North Rd, 2nd Floor, Chelmsford, MA 01824-2722 | 2016-08-31 |
| 1295189280 | Jonathan Bishop | Dentist | 208 Main St Ste 116, Milford, MA 01757-2502 | 2016-04-16 |
| 1790149987 | Capeside Oral&facial Surgery, Inc. | Dentist | 362 Gifford St, Falmouth, MA 02540-2912 | 2016-04-13 |
| Find all providers with the same taxonomy | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
Please comment or provide details below to improve the information on MIKHAIL YUREVICH KOBAKOV.
| 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.