Provider Demographics
NPI:1811016553
Name:HOPKINS III, STEPHEN CORNWALL III (DDS)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:CORNWALL
Last Name:HOPKINS III
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:17821 EXECUTIVE PARK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-0000
Mailing Address - Country:US
Mailing Address - Phone:301-916-9700
Mailing Address - Fax:301-916-8799
Practice Address - Street 1:19721 EXECUTIVE PARK CIR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2639
Practice Address - Country:US
Practice Address - Phone:301-916-9700
Practice Address - Fax:301-916-8799
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD096541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice