Healthcare Provider Details

I. General information

NPI: 1477662187
Provider Name (Legal Business Name): PAUL D HOPKINS DDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

859 W PLEASANT VIEW DR
PLEASANT VIEW UT
84414
US

IV. Provider business mailing address

859 W PLEASANT VIEW DR
PLEASANT VIEW UT
84414
US

V. Phone/Fax

Practice location:
  • Phone: 801-737-4477
  • Fax: 801-737-0626
Mailing address:
  • Phone: 801-737-4477
  • Fax: 801-737-0626

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number144563
License Number StateUT

VIII. Authorized Official

Name: DR. PAUL DUANE HOPKINS
Title or Position: PRESIDENT
Credential: DDS PC
Phone: 801-773-1234