Provider Demographics
NPI:1134267800
Name:HOSKING, DAVID JOHN (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:HOSKING
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 1:7255 9 MILE RD
Mailing Address - Street 2:P.O. BOX 236
Mailing Address - City:MECOSTA
Mailing Address - State:MI
Mailing Address - Zip Code:49332-9344
Mailing Address - Country:US
Mailing Address - Phone:231-972-7104
Mailing Address - Fax:231-972-7250
Practice Address - Street 1:7255 9 MILE RD
Practice Address - Street 2:
Practice Address - City:MECOSTA
Practice Address - State:MI
Practice Address - Zip Code:49332-9344
Practice Address - Country:US
Practice Address - Phone:231-972-7104
Practice Address - Fax:231-972-7250
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0140901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MID8081440OtherBCBS
MI014090OtherDELTA DENTAL