Provider Demographics
NPI:1306131438
Name:HOYBJERG, ADAM JOHANNES (DDS)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:JOHANNES
Last Name:HOYBJERG
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 1:950 THARP RD STE 1302
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-8351
Mailing Address - Country:US
Mailing Address - Phone:530-751-1225
Mailing Address - Fax:530-751-9863
Practice Address - Street 1:950 THARP RD STE 1302
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-8351
Practice Address - Country:US
Practice Address - Phone:530-751-1225
Practice Address - Fax:530-751-9863
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA620611223X0400X
OK61941223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics