Provider Demographics
NPI:1295844991
Name:HOPKINS, PAUL DUANE (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:DUANE
Last Name:HOPKINS
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 1:5275 ADAMS AVE PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84405-7238
Mailing Address - Country:US
Mailing Address - Phone:801-479-1181
Mailing Address - Fax:801-479-1182
Practice Address - Street 1:5275 ADAMS AVE PKWY STE A
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-7238
Practice Address - Country:US
Practice Address - Phone:801-479-1181
Practice Address - Fax:801-479-1182
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT144563122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
591998OtherUNITED CONCORDIA