Provider Demographics
NPI:1093934960
Name:HOY, JEFFREY PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:PATRICK
Last Name:HOY
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 1:3440 W LOMITA BLVD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505
Mailing Address - Country:US
Mailing Address - Phone:310-326-7421
Mailing Address - Fax:310-326-2324
Practice Address - Street 1:3440 W LOMITA BLVD
Practice Address - Street 2:SUITE 340
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505
Practice Address - Country:US
Practice Address - Phone:310-326-7421
Practice Address - Fax:310-326-2324
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA298921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GG563AMedicare PIN