Provider Demographics
NPI:1891848537
Name:TOOKEY, JOHN HALL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HALL
Last Name:TOOKEY
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 1:39933 DYOTT WAY
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-2923
Mailing Address - Country:US
Mailing Address - Phone:661-400-0462
Mailing Address - Fax:661-274-1219
Practice Address - Street 1:44444 16TH ST W
Practice Address - Street 2:SUITE 101
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2840
Practice Address - Country:US
Practice Address - Phone:661-948-0408
Practice Address - Fax:661-948-3991
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31719122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist