Provider Demographics
NPI:1982057923
Name:JAMES C HOPPE DDS PLLC
Entity Type:Organization
Organization Name:JAMES C HOPPE DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:R
Authorized Official - Last Name:MOOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-534-0569
Mailing Address - Street 1:3010 S SOUTHEAST BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-3542
Mailing Address - Country:US
Mailing Address - Phone:509-534-0569
Mailing Address - Fax:
Practice Address - Street 1:3010 S SOUTHEAST BLVD STE E
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-3542
Practice Address - Country:US
Practice Address - Phone:509-534-0569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty