MEDICARE: DR. PAUL MATHIAS HOPPE 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	44601	CA
2	122300000X	Dentist	44601	CA

General Provider Information

NPI Number	:	1558385575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL MATHIAS HOPPE DDS

Provider Business Mailing Address
First Line	:	90 VANTIS DR UNIT 5047
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-2540
Country	:	US
Telephone Number	:	949-975-9932
Fax Number	:

Provider Business Practice Location Address
First Line	:	29861 SANTA MARGARITA PKWY STE 200
Second Line	:
City	:	RANCHO SANTA MARGARITA
State	:	CA
Zip	:	92688-3624
Country	:	US
Telephone Number	:	949-975-9932
Fax Number	:

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	08/20/2019

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