Provider Demographics
NPI:1689836470
Name:HOOVER, BRITTANY THOME (DMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:THOME
Last Name:HOOVER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:THOME
Other - Last Name:HAYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:3238 KRISAM CREEK DR.
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052
Mailing Address - Country:US
Mailing Address - Phone:770-466-0474
Mailing Address - Fax:770-441-0299
Practice Address - Street 1:1590 OAKBROOK DR
Practice Address - Street 2:SUITE 200
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-2245
Practice Address - Country:US
Practice Address - Phone:770-449-0836
Practice Address - Fax:770-441-0299
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA136901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice