Provider Demographics
NPI:1588720700
Name:HOPPE, CARY JOHN (DDS)
Entity type:Individual
Prefix:DR
First Name:CARY
Middle Name:JOHN
Last Name:HOPPE
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 1:3701 WILLIAMS BLVD
Mailing Address - Street 2:SUITE 253
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3070
Mailing Address - Country:US
Mailing Address - Phone:504-469-1551
Mailing Address - Fax:504-469-1580
Practice Address - Street 1:3701 WILLIAMS BLVD
Practice Address - Street 2:SUITE 253
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3070
Practice Address - Country:US
Practice Address - Phone:504-469-1551
Practice Address - Fax:504-469-1580
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA35571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice