Provider Demographics
NPI:1689886830
Name:BRIAN J HOCKEL DDS APC
Entity Type:Organization
Organization Name:BRIAN J HOCKEL DDS APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOCKEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:925-934-3434
Mailing Address - Street 1:2651 OAK GROVE ROAD
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598
Mailing Address - Country:US
Mailing Address - Phone:945-934-3434
Mailing Address - Fax:925-934-4531
Practice Address - Street 1:2651 OAK GROVE ROAD
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598
Practice Address - Country:US
Practice Address - Phone:945-934-3434
Practice Address - Fax:925-934-4531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA375621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty