Provider Demographics
NPI:1821318361
Name:JONELL K. HOPECK, DDS, PC
Entity Type:Organization
Organization Name:JONELL K. HOPECK, DDS, PC
Other - Org Name:RIVER VALLEY PERIODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PERIODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JONELL
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOPECK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:413-774-7910
Mailing Address - Street 1:122 STONY BROOK VLG
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2053
Mailing Address - Country:US
Mailing Address - Phone:617-894-8527
Mailing Address - Fax:
Practice Address - Street 1:33 RIDDELL ST STE 6
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-2026
Practice Address - Country:US
Practice Address - Phone:413-774-7910
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215441223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty