Provider Demographics
NPI:1235152992
Name:HOODENPYLE, RICHARD LEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:LEE
Last Name:HOODENPYLE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 490
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NC
Mailing Address - Zip Code:28744-0490
Mailing Address - Country:US
Mailing Address - Phone:828-349-1551
Mailing Address - Fax:828-349-6456
Practice Address - Street 1:171 SLOAN RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NC
Practice Address - Zip Code:28734-7391
Practice Address - Country:US
Practice Address - Phone:828-349-1551
Practice Address - Fax:828-349-6456
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC40701223P0300X
NC3195124Q00000X
126800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No124Q00000XDental ProvidersDental Hygienist
No126800000XDental ProvidersDental Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
94070OtherBLUE CROSS/BLUE SHIELD