Provider Demographics
NPI:1083635635
Name:HOXIE, MICHAEL H (DDS)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:H
Last Name:HOXIE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7825 TERREY PINE COURT
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55347
Mailing Address - Country:US
Mailing Address - Phone:952-937-0111
Mailing Address - Fax:952-937-1492
Practice Address - Street 1:7825 TERREY PINE COURT
Practice Address - Street 2:SUITE 101
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55347
Practice Address - Country:US
Practice Address - Phone:952-937-0111
Practice Address - Fax:952-937-1492
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN109601223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics