Provider Demographics
NPI:1376615302
Name:HOYNER, RICHARD (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:HOYNER
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 1:11111 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-6701
Mailing Address - Country:US
Mailing Address - Phone:480-991-4727
Mailing Address - Fax:480-596-4087
Practice Address - Street 1:11111 N SCOTTSDALE RD
Practice Address - Street 2:SUITE 220
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-6701
Practice Address - Country:US
Practice Address - Phone:480-991-4727
Practice Address - Fax:480-596-4087
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2016-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD008265122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI124063949Medicaid