Provider Demographics
NPI:1235330564
Name:HOPKINS, DEBRA B (DDS)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:B
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3516 S 47TH ST
Mailing Address - Street 2:#104
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98409-4452
Mailing Address - Country:US
Mailing Address - Phone:253-475-2160
Mailing Address - Fax:253-475-0902
Practice Address - Street 1:3516 S 47TH ST
Practice Address - Street 2:#104
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98409-4452
Practice Address - Country:US
Practice Address - Phone:253-475-2160
Practice Address - Fax:253-475-0902
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice