Provider Demographics
NPI:1851035661
Name:DOUGLAS A HOCK, DDS, MS PC
Entity Type:Organization
Organization Name:DOUGLAS A HOCK, DDS, MS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WOLSCHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-434-2300
Mailing Address - Street 1:4918 W CLARK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1142
Mailing Address - Country:US
Mailing Address - Phone:734-434-2300
Mailing Address - Fax:734-434-2209
Practice Address - Street 1:4918 W CLARK RD STE 101
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1142
Practice Address - Country:US
Practice Address - Phone:734-434-2300
Practice Address - Fax:734-434-2209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty