Gary L Hopkins, DMD

Individual provider Active NPI General Practice Dentistry · South Williamson, KY

NPI 1083721187 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1083721187
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5390 (KY)
Practice address
79 South Side Mall Rd
401 South Side Prof. BLDG
South Williamson, KY 41503-3975
Phone
(606) 237-0073
Fax
(606) 237-9967
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5390 KY Yes

Addresses

Primary practice location

79 South Side Mall Rd
401 South Side Prof. BLDG
South Williamson, KY 41503-3975

Mailing address

79 South Side Mall Rd.
401 South Side Prof. BLDG.
South Williamson, KY 41503
Phone (606) 237-0073

Other providers in South Williamson, KY

All providers in South Williamson, KY · General Practice Dentistry in Kentucky

Sources for this page

Verify at the official NPI Registry.