Provider Demographics
NPI:1053472100
Name:HOPPIN, JOHN CARTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:CARTER
Last Name:HOPPIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14301 CONWAY RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017
Mailing Address - Country:US
Mailing Address - Phone:314-469-3320
Mailing Address - Fax:314-469-3373
Practice Address - Street 1:1 WESTBURY DR
Practice Address - Street 2:STE 300 BLDG C
Practice Address - City:ST CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63301-2541
Practice Address - Country:US
Practice Address - Phone:636-946-9890
Practice Address - Fax:636-946-7195
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO115301223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO11530OtherSTATE