Provider Demographics
NPI:1821404724
Name:HOPEWELL DENTAL CARE ASSOCIATES, LLC
Entity Type:Organization
Organization Name:HOPEWELL DENTAL CARE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:MINAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAKINAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-522-5000
Mailing Address - Street 1:1617 TIKI LN
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8729
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1617 TIKI LN
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8729
Practice Address - Country:US
Practice Address - Phone:740-687-1617
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH176661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty