Healthcare Provider Details

I. General information

NPI: 1982057923
Provider Name (Legal Business Name): JAMES C HOPPE DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 07/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 S SOUTHEAST BLVD STE E
SPOKANE WA
99223-3542
US

IV. Provider business mailing address

3010 S SOUTHEAST BLVD STE E
SPOKANE WA
99223-3542
US

V. Phone/Fax

Practice location:
  • Phone: 509-534-0569
  • Fax:
Mailing address:
  • Phone: 509-534-0569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: RENEE R MOOS
Title or Position: OFFICE MANAGER
Credential:
Phone: 509-534-0569