MEDICARE: DR. JOHN HOWARD HOECHSTER D.M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	029422	NY

General Provider Information

NPI Number	:	1003011990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN HOWARD HOECHSTER D.M.D.

Provider Business Mailing Address
First Line	:	363 ELK POINT RD
Second Line	:
City	:	LIVINGSTON MANOR
State	:	NY
Zip	:	12758-8829
Country	:	US
Telephone Number	:	845-292-0023
Fax Number	:	845-292-0023

Provider Business Practice Location Address
First Line	:	363 ELK POINT RD
Second Line	:
City	:	LIVINGSTON MANOR
State	:	NY
Zip	:	12758-8829
Country	:	US
Telephone Number	:	845-292-0023
Fax Number	:	845-292-0023

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	10/21/2009

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