MEDICARE: MR. GERALD ANTHONY HOYT JR. 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	1980	AR

General Provider Information

NPI Number	:	1093992455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GERALD ANTHONY HOYT JR. DDS

Provider Business Mailing Address
First Line	:	2619 CHOCTAW TRL
Second Line	:
City	:	MARIANNA
State	:	FL
Zip	:	32446-7813
Country	:	US
Telephone Number	:	850-445-3366
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 N SHACKLEFORD RD STE B1
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72211-2882
Country	:	US
Telephone Number	:	501-227-5155
Fax Number	:	501-771-5117

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

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	01/29/2008

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