Provider Demographics
NPI:1033323415
Name:HOCKENBERGER, BRIAN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:
Last Name:HOCKENBERGER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4312 CLEVELAND MASSILLON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-5732
Mailing Address - Country:US
Mailing Address - Phone:330-825-7060
Mailing Address - Fax:330-825-5190
Practice Address - Street 1:4312 CLEVELAND MASSILLON RD
Practice Address - Street 2:SUITE A
Practice Address - City:NORTON
Practice Address - State:OH
Practice Address - Zip Code:44203-5732
Practice Address - Country:US
Practice Address - Phone:330-825-7060
Practice Address - Fax:330-825-5190
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH197821223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics