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NPI Code Detail

MEDICARE: DR. JAMES C HOPPE D.D.S.

MEDICARE: DR. JAMES C HOPPE D.D.S.
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
11223G0001XGeneral Practice Dentistry4625WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164429379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES C HOPPE D.D.S.
Provider Business Mailing Address
First Line : 3010 S. SOUTHEAST BLVD.
Second Line : SUITE E
City : SPOKANE
State : WA
Zip : 99223-3542
Country : US
Telephone Number : 509-534-0569
Fax Number : 509-534-5665
Provider Business Practice Location Address
First Line : 3010 S. SOUTHEAST BLVD.
Second Line : SUITE E
City : SPOKANE
State : WA
Zip : 99223-3542
Country : US
Telephone Number : 509-534-0569
Fax Number : 509-534-5665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 12/30/2015

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