Provider Demographics
NPI:1497338214
Name:TIMOTHY J HOOPES DDS INC.
Entity Type:Organization
Organization Name:TIMOTHY J HOOPES DDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HOOPES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:310-418-7266
Mailing Address - Street 1:3005 SOFTWIND WAY
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-7129
Mailing Address - Country:US
Mailing Address - Phone:131-041-8772
Mailing Address - Fax:
Practice Address - Street 1:1921 S CATALINA AVE STE 4
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5516
Practice Address - Country:US
Practice Address - Phone:310-378-7494
Practice Address - Fax:310-378-6550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental