Provider Demographics
NPI:1518376698
Name:HOBOCK, JENNIFER MILLER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:MILLER
Last Name:HOBOCK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 WOODFOREST PKWY N
Mailing Address - Street 2:STE 700
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77316
Mailing Address - Country:US
Mailing Address - Phone:936-249-6300
Mailing Address - Fax:936-249-6300
Practice Address - Street 1:2300 WOODFOREST PKWY N
Practice Address - Street 2:STE 700
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316
Practice Address - Country:US
Practice Address - Phone:936-249-6300
Practice Address - Fax:936-249-6300
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30294122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist