Barry L Hopper, DDS
Individual provider Active NPI Public Health Dentistry · Blountville, TN
NPI 1962552927 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1962552927
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health Dentistry 1223D0001X
- License
- 2177 (TN)
- Practice address
- 975 Emergency Rd.
Blountville, TN 37617-0630 - Phone
- (423) 323-2796
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2177 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sullivan | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 2177 | TN | Yes |
Addresses
Primary practice location
975 Emergency Rd.
Blountville, TN 37617-0630
Mailing address
133 Spanish Oak Rd
Bristol, TN 37620-2722
Phone (423) 968-7224
Other providers in Blountville, TN
- Alisa Lynne Hearl
- Jessica E Hess
- Cindy R Holmes
- Holston Health Associates, PLLC
- Barry Lee Honeycutt
- Dawn Marie Horn
- Wallace Carlo Hoskins
- David Michael Hurley
- Integralabs MDG Incorporated
- Ricky Lee Johnson Jr.
All providers in Blountville, TN · Public Health Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.