Provider Demographics
NPI:1235165937
Name:HOSS, NEIL (DMD)
Entity Type:Individual
Prefix:MR
First Name:NEIL
Middle Name:
Last Name:HOSS
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 1:115 HARTFORD TPKE
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-2819
Mailing Address - Country:US
Mailing Address - Phone:860-875-8346
Mailing Address - Fax:860-872-4755
Practice Address - Street 1:115 HARTFORD TPKE
Practice Address - Street 2:
Practice Address - City:TOLLAND
Practice Address - State:CT
Practice Address - Zip Code:06084-2819
Practice Address - Country:US
Practice Address - Phone:860-875-8346
Practice Address - Fax:860-872-4755
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7594122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist