Provider Demographics
NPI:1841591187
Name:HOVE FAMILY DENTAL, PLLC
Entity Type:Organization
Organization Name:HOVE FAMILY DENTAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HOVE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:515-480-8985
Mailing Address - Street 1:12951 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-8270
Mailing Address - Country:US
Mailing Address - Phone:515-221-9003
Mailing Address - Fax:
Practice Address - Street 1:12951 UNIVERSITY AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-8270
Practice Address - Country:US
Practice Address - Phone:515-221-9003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty