Provider Demographics
NPI:1992350201
Name:HOPPE DENTAL CORPORATION
Entity type:Organization
Organization Name:HOPPE DENTAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:MATHIAS
Authorized Official - Last Name:HOPPE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:949-975-9932
Mailing Address - Street 1:90 VANTIS DR UNIT 5047
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-2540
Mailing Address - Country:US
Mailing Address - Phone:949-301-7881
Mailing Address - Fax:
Practice Address - Street 1:29861 SANTA MARGARITA PKWY STE 200
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-3624
Practice Address - Country:US
Practice Address - Phone:949-975-9932
Practice Address - Fax:949-709-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-04
Last Update Date:2019-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty