Provider Demographics
NPI:1831303858
Name:HOOKER, TONY DEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:DEE
Last Name:HOOKER
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 1:399 SOUTHCREST CT STE A
Mailing Address - Street 2:
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38671-4790
Mailing Address - Country:US
Mailing Address - Phone:662-349-2541
Mailing Address - Fax:662-349-0908
Practice Address - Street 1:399 SOUTHCREST CT STE A
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-4790
Practice Address - Country:US
Practice Address - Phone:662-349-2541
Practice Address - Fax:662-349-0908
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1755-771223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery