MEDICARE: JAMES E HOPPER DDS INC.

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	23320	CA

General Provider Information

NPI Number	:	1841400918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES E HOPPER DDS INC.

Provider Business Mailing Address
First Line	:	9292 MIRA MESA BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-4806
Country	:	US
Telephone Number	:	858-566-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	9292 MIRA MESA BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-4806
Country	:	US
Telephone Number	:	858-566-4200
Fax Number	:	858-566-6528

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAMES E HOPPER
Credential	:	D.D.S.
Telephone Number	:	858-566-4200

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	08/22/2020

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