Healthcare Provider Details

I. General information

NPI: 1679668651
Provider Name (Legal Business Name): DAVID L HOEXTER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 10/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 MADISON AVENUE SUITE 1200
NEW YORK NY
10022
US

IV. Provider business mailing address

635 MADISON AVENUE SUITE 1200
NEW YORK NY
10022
US

V. Phone/Fax

Practice location:
  • Phone: 212-355-0004
  • Fax: 212-688-2966
Mailing address:
  • Phone: 212-355-0004
  • Fax: 212-688-2966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number024491-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: