Provider Demographics
NPI:1326252719
Name:SMILING BUCKEYE ENTERPRISES INC.
Entity Type:Organization
Organization Name:SMILING BUCKEYE ENTERPRISES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOCKENBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:330-825-7060
Mailing Address - Street 1:4312 CLEVELAND MASSILLON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-5732
Mailing Address - Country:US
Mailing Address - Phone:330-825-7060
Mailing Address - Fax:330-825-5190
Practice Address - Street 1:4312 CLEVELAND MASSILLON RD
Practice Address - Street 2:SUITE A
Practice Address - City:NORTON
Practice Address - State:OH
Practice Address - Zip Code:44203-5732
Practice Address - Country:US
Practice Address - Phone:330-825-7060
Practice Address - Fax:330-825-5190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty