Provider Demographics
NPI:1417283680
Name:HOPKINS, KRISTINA MICHELLE (DDS, MSD)
Entity Type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:MICHELLE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 HERITAGE WAY
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35211-3868
Mailing Address - Country:US
Mailing Address - Phone:205-601-2668
Mailing Address - Fax:
Practice Address - Street 1:4500 MONTEVALLO ROAD
Practice Address - Street 2:SUITE B105
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35210-3128
Practice Address - Country:US
Practice Address - Phone:205-595-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL56621223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics