MEDICARE: DR. HAROLD MIKEL HOPKINS 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	7176	FL

General Provider Information

NPI Number	:	1386646651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD MIKEL HOPKINS DDS

Provider Business Mailing Address
First Line	:	1952 BAYSHORE BLVD
Second Line	:
City	:	DUNEDIN
State	:	FL
Zip	:	34698-2500
Country	:	US
Telephone Number	:	727-733-1175
Fax Number	:	727-734-7702

Provider Business Practice Location Address
First Line	:	1952 BAYSHORE BLVD
Second Line	:
City	:	DUNEDIN
State	:	FL
Zip	:	34698-2500
Country	:	US
Telephone Number	:	727-733-1175
Fax Number	:	727-734-7702

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/08/2007

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