MEDICARE: DR. JAKE HOOPER 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
1	1223G0001X	General Practice Dentistry	40619	TX

General Provider Information

NPI Number	:	1023719002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAKE HOOPER DDS

Provider Business Mailing Address
First Line	:	2902 S BUCKNER BLVD STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-6967
Country	:	US
Telephone Number	:	469-523-5322
Fax Number	:

Provider Business Practice Location Address
First Line	:	2902 S BUCKNER BLVD STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75227-6967
Country	:	US
Telephone Number	:	469-523-5322
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2023
Last Update Date	:	02/08/2026

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Directions to “ DR. JAKE HOOPER DDS” Practice Location

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