MEDICARE: DR. PAMELA HOOPINGARNER DDS

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	17462	OH

General Provider Information

NPI Number	:	1073679163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA HOOPINGARNER DDS

Provider Business Mailing Address
First Line	:	7057 W 130TH ST
Second Line	:	SUITE 403
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-7841
Country	:	US
Telephone Number	:	440-884-7300
Fax Number	:	440-884-7352

Provider Business Practice Location Address
First Line	:	7057 W 130TH ST
Second Line	:	SUITE 403
City	:	PARMA HEIGHTS
State	:	OH
Zip	:	44130-7841
Country	:	US
Telephone Number	:	440-884-7300
Fax Number	:	440-884-7352

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

Provider Enumeration Date	:	12/31/2006
Last Update Date	:	07/08/2007

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