Provider Demographics
NPI:1396713707
Name:BRINER, PATRICIA HOKE (DMD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:HOKE
Last Name:BRINER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:ACME
Mailing Address - State:PA
Mailing Address - Zip Code:15610-0157
Mailing Address - Country:US
Mailing Address - Phone:724-423-4765
Mailing Address - Fax:
Practice Address - Street 1:ROUTE 31
Practice Address - Street 2:
Practice Address - City:ACME
Practice Address - State:PA
Practice Address - Zip Code:15610-0157
Practice Address - Country:US
Practice Address - Phone:724-423-4765
Practice Address - Fax:724-423-4765
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021456L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist