Provider Demographics
NPI:1659574887
Name:DOUGLAS G. HOPE, DDS, INC.
Entity Type:Organization
Organization Name:DOUGLAS G. HOPE, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:HOPE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-480-8883
Mailing Address - Street 1:203 N ASH ST
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-3014
Mailing Address - Country:US
Mailing Address - Phone:760-480-8883
Mailing Address - Fax:760-480-9718
Practice Address - Street 1:203 N ASH ST
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92027-3014
Practice Address - Country:US
Practice Address - Phone:760-480-8883
Practice Address - Fax:760-480-9718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2012-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA455741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty