Provider Demographics
NPI:1598373474
Name:HOPKINS, SAMATHA LEAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAMATHA
Middle Name:LEAH
Last Name:HOPKINS
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 1:2427 NORTHGATE ST
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-1144
Mailing Address - Country:US
Mailing Address - Phone:641-684-4889
Mailing Address - Fax:
Practice Address - Street 1:2427 NORTHGATE ST
Practice Address - Street 2:
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-1144
Practice Address - Country:US
Practice Address - Phone:641-684-4889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-097981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice