Provider Demographics
NPI:1073858072
Name:JASON R. HOYNER, D.D.S., P.L.L.C.
Entity Type:Organization
Organization Name:JASON R. HOYNER, D.D.S., P.L.L.C.
Other - Org Name:HOYNER FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SOLE MEMBER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-692-6155
Mailing Address - Street 1:9060 SILVERDALE WAY NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-9198
Mailing Address - Country:US
Mailing Address - Phone:360-692-6155
Mailing Address - Fax:
Practice Address - Street 1:9060 SILVERDALE WAY NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-9198
Practice Address - Country:US
Practice Address - Phone:360-692-6155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-01
Last Update Date:2012-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE00010859122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty