Provider Demographics
NPI:1386646651
Name:HOPKINS, HAROLD MIKEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:MIKEL
Last Name:HOPKINS
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 1:1952 BAYSHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-2500
Mailing Address - Country:US
Mailing Address - Phone:727-733-1175
Mailing Address - Fax:727-734-7702
Practice Address - Street 1:1952 BAYSHORE BLVD
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-2500
Practice Address - Country:US
Practice Address - Phone:727-733-1175
Practice Address - Fax:727-734-7702
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL71761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice