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NPI Code Detail

MEDICARE: EDWARD HOOTON D.D.S.

MEDICARE: EDWARD HOOTON D.D.S.
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
11223G0001XGeneral Practice Dentistry3974LA

General Provider Information

NPI Number : 1871650416
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD HOOTON D.D.S.
Provider Business Mailing Address
First Line : 2805 ARMAND ST
Second Line :
City : MONROE
State : LA
Zip : 71201-3751
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2805 ARMAND ST
Second Line :
City : MONROE
State : LA
Zip : 71201-3751
Country : US
Telephone Number : 318-388-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2007
Last Update Date : 12/14/2025

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