Provider Demographics
NPI:1972602647
Name:HOEHN, JAMES DOUGLES (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DOUGLES
Last Name:HOEHN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:JIM
Other - Middle Name:DOUGLAS
Other - Last Name:HOEHN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1987 ROYAL AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-4655
Mailing Address - Country:US
Mailing Address - Phone:805-526-8637
Mailing Address - Fax:805-578-2307
Practice Address - Street 1:1987 ROYAL AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-4655
Practice Address - Country:US
Practice Address - Phone:805-526-8637
Practice Address - Fax:805-578-2307
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33937122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist