Provider Demographics
NPI:1346217858
Name:HOCHSTEIN, BRIAN L (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:L
Last Name:HOCHSTEIN
Suffix:
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 1:2244 S BUCKNER BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75227-8578
Mailing Address - Country:US
Mailing Address - Phone:214-381-0663
Mailing Address - Fax:214-381-1429
Practice Address - Street 1:2244 S BUCKNER BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75227-8578
Practice Address - Country:US
Practice Address - Phone:214-381-0663
Practice Address - Fax:214-381-1429
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX169681223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX753280OtherUNITED CONCORDIA PROVIDER
TX050203OtherCHIP PERSONAL ID NUMBER
TX84D141OtherBCBS PROVIDER ID
TX84D141OtherBCBS PROVIDER ID