Provider Demographics
NPI:1093992455
Name:HOYT, GERALD ANTHONY JR (DDS)
Entity Type:Individual
Prefix:MR
First Name:GERALD
Middle Name:ANTHONY
Last Name:HOYT
Suffix:JR
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 1:2619 CHOCTAW TRL
Mailing Address - Street 2:
Mailing Address - City:MARIANNA
Mailing Address - State:FL
Mailing Address - Zip Code:32446-7813
Mailing Address - Country:US
Mailing Address - Phone:850-445-3366
Mailing Address - Fax:
Practice Address - Street 1:301 N SHACKLEFORD RD STE B1
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-2882
Practice Address - Country:US
Practice Address - Phone:501-227-5155
Practice Address - Fax:501-771-5117
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR19801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice