Provider Demographics
NPI:1649447020
Name:HOYT-REHM, DOROTHY MEDINA (DMD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:MEDINA
Last Name:HOYT-REHM
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 1:479 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:FAIR HAVEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07704-3031
Mailing Address - Country:US
Mailing Address - Phone:732-747-1224
Mailing Address - Fax:732-747-0145
Practice Address - Street 1:479 RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIR HAVEN
Practice Address - State:NJ
Practice Address - Zip Code:07704-3031
Practice Address - Country:US
Practice Address - Phone:732-747-1224
Practice Address - Fax:732-747-0145
Is Sole Proprietor?:No
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01447400122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist