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NPI Code Detail

MEDICARE: DURSTIN W HOOPER DDS

MEDICARE: DURSTIN W 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
1122300000XDentistD010816AZ

General Provider Information

NPI Number : 1275158396
Entity Type Code : Individual
Provider Name (Legal Business Name) : DURSTIN W HOOPER DDS
Provider Business Mailing Address
First Line : 300 W AIRPORT RD
Second Line :
City : PAYSON
State : AZ
Zip : 85541-3607
Country : US
Telephone Number : 435-215-9694
Fax Number :
Provider Business Practice Location Address
First Line : 300 W AIRPORT RD
Second Line :
City : PAYSON
State : AZ
Zip : 85541-3607
Country : US
Telephone Number : 435-215-9694
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2020
Last Update Date : 04/13/2026

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Directions to “ DURSTIN W HOOPER DDS” Practice Location

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