MEDICARE: DR. STEVEN RAY HOEKMAN 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	2901011818	MI

General Provider Information

NPI Number	:	1437244019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN RAY HOEKMAN DDS

Provider Business Mailing Address
First Line	:	120 MARSHALL ST
Second Line	:	BOX 657
City	:	BROOKLYN
State	:	MI
Zip	:	49230
Country	:	US
Telephone Number	:	517-592-8422
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 MARSHALL ST
Second Line	:	BOX 657
City	:	BROOKLYN
State	:	MI
Zip	:	49230-1234
Country	:	US
Telephone Number	:	517-592-8422
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/08/2007

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