Provider Demographics
NPI:1508350398
Name:HOJNOWSKI, KEVIN R (DMD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:R
Last Name:HOJNOWSKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:767 WACHESAW RD
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-5813
Mailing Address - Country:US
Mailing Address - Phone:843-357-2122
Mailing Address - Fax:
Practice Address - Street 1:767 WACHESAW RD
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-5813
Practice Address - Country:US
Practice Address - Phone:843-357-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2021-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC91491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice