Provider Demographics
NPI:1750444014
Name:HOYT, CHARLES LAURENCE (DDS)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:LAURENCE
Last Name:HOYT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40119 MURRIETA HOT SPRINGS ROAD
Mailing Address - Street 2:SUITE C105
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-6303
Mailing Address - Country:US
Mailing Address - Phone:951-677-4892
Mailing Address - Fax:951-894-4420
Practice Address - Street 1:40119 MURRIETA HOT SPRINGS ROAD
Practice Address - Street 2:SUITE C105
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-6303
Practice Address - Country:US
Practice Address - Phone:951-677-4892
Practice Address - Fax:951-894-4420
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA356171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice