Healthcare Provider Details

I. General information

NPI: 1720459027
Provider Name (Legal Business Name): DR. WILLIAM L. HOOK DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2015
Last Update Date: 10/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 NEWPORT RD SUITE 304
GAP PA
17527-9579
US

IV. Provider business mailing address

P.O. BOX 400
GAP PA
17527
US

V. Phone/Fax

Practice location:
  • Phone: 717-442-3639
  • Fax: 717-442-4281
Mailing address:
  • Phone: 717-442-3639
  • Fax: 717-442-4281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS018645L
License Number StatePA

VIII. Authorized Official

Name: MRS. ROSE N. KING
Title or Position: MANAGER
Credential:
Phone: 717-442-3639