MEDICARE: OCEAN DENTAL OF TEXAS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	152W00000X	Optometrist
2	156FX1800X	Optician
3	122300000X	Dentist

Other Identifiers

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

General Provider Information

NPI Number	:	1831381169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OCEAN DENTAL OF TEXAS, P.C.

Provider Business Mailing Address
First Line	:	209 LILAC DR STE 120
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-7206
Country	:	US
Telephone Number	:	405-707-6142
Fax Number	:

Provider Business Practice Location Address
First Line	:	1620 S PADRE ISLAND DR
Second Line	:	SUITE 250
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78416-1353
Country	:	US
Telephone Number	:	361-853-3334
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHAD BRANDON HOECKER
Credential	:
Telephone Number	:	405-707-0600

Provider Enumeration Date	:	08/10/2007
Last Update Date	:	04/21/2022

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Directions to “OCEAN DENTAL OF TEXAS, P.C. ” Practice Location

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