Provider Demographics
NPI:1073536843
Name:HOPKINS, DENNIS GORDON (DDS)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:GORDON
Last Name:HOPKINS
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 1:2748 MILTON WAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MILTON
Mailing Address - State:WA
Mailing Address - Zip Code:98354-9382
Mailing Address - Country:US
Mailing Address - Phone:253-927-5501
Mailing Address - Fax:253-952-4461
Practice Address - Street 1:44100 JEFFERSON ST STE D404
Practice Address - Street 2:
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-2714
Practice Address - Country:US
Practice Address - Phone:760-772-0583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA54401223G0001X
CADDS102137122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA23086OtherLABOR & INDUSTRIES
WA5622OtherWASHINGTON DENTAL SERVICE
WA741718OtherUNITED CONCORDIA INS