MEDICARE: DR. JOANNE GAY 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	15799	TX

General Provider Information

NPI Number	:	1730184482
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNE GAY HOPPE DDS

Provider Business Mailing Address
First Line	:	6333 E MOCKINGBIRD LN
Second Line	:	STE 255
City	:	DALLAS
State	:	TX
Zip	:	75214-2367
Country	:	US
Telephone Number	:	214-821-5200
Fax Number	:	214-821-5227

Provider Business Practice Location Address
First Line	:	6333 E MOCKINGBIRD LN
Second Line	:	STE 255
City	:	DALLAS
State	:	TX
Zip	:	75214-2367
Country	:	US
Telephone Number	:	214-821-5200
Fax Number	:	214-821-5227

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

Provider Enumeration Date	:	06/18/2005
Last Update Date	:	07/08/2007

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