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NPI Code Detail

MEDICARE: DR. MITCHELL RONALD HOPKINS DDS

MEDICARE: DR. MITCHELL RONALD 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
11223G0001XGeneral Practice Dentistry2008014149MO

General Provider Information

NPI Number : 1417102880
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MITCHELL RONALD HOPKINS DDS
Provider Business Mailing Address
First Line : 417 E 70TH STREET
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131
Country : US
Telephone Number : 816-392-5560
Fax Number : 816-331-4051
Provider Business Practice Location Address
First Line : 3908 S NOLAND RD
Second Line :
City : INDEPENDENCE
State : MO
Zip : 64055-3347
Country : US
Telephone Number : 816-461-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2008
Last Update Date : 04/21/2009

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