MEDICARE: ERIC HOHNWALD DDS PA

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	DN4844	FL

General Provider Information

NPI Number	:	1073621652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIC HOHNWALD DDS PA

Provider Business Mailing Address
First Line	:	2118 CONSTITUTION BLVD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-4146
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2118 CONSTITUTION BLVD
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34231-4146
Country	:	US
Telephone Number	:	941-922-4546
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	ERIC HOHNWALD
Credential	:
Telephone Number	:	941-922-4546

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	08/22/2020

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