Provider Demographics
NPI:1063579019
Name:HOYLAND, BARRY C (DDS)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:C
Last Name:HOYLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4235 OAKMEDE LN
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-7610
Mailing Address - Country:US
Mailing Address - Phone:651-426-2184
Mailing Address - Fax:
Practice Address - Street 1:1815 SUBURBAN AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55119-4302
Practice Address - Country:US
Practice Address - Phone:651-735-4661
Practice Address - Fax:651-735-1910
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND70911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice