Provider Demographics
NPI:1467400630
Name:HOEK, CHRISTOPHER B (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:B
Last Name:HOEK
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 1:1537 BRANTLEY RD
Mailing Address - Street 2:
Mailing Address - City:FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3923
Mailing Address - Country:US
Mailing Address - Phone:239-275-0550
Mailing Address - Fax:239-275-6990
Practice Address - Street 1:1537 BRANTLEY RD
Practice Address - Street 2:
Practice Address - City:FT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3923
Practice Address - Country:US
Practice Address - Phone:239-275-0550
Practice Address - Fax:239-275-6990
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00072711223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT85383Medicare UPIN
FL66903ZMedicare ID - Type Unspecified