Organization · NPI-2

Brett A Hoover, DDS, PC

Dentist, General Practice · Lebanon, PA

NPI number1962889394
StatusActive
Last updated in NPPESMay 6, 2015

Details

NPI
1962889394
Entity type
Organization (NPI-2)
Legal business name
Brett A Hoover, DDS, PC
Organization subpart
No
Enumeration date
May 6, 2015
Last updated
May 6, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice030120PAYes

Practice location

880 Tuck St
Lebanon, PA 17042-7477

Phone 717-272-4761 · Fax 717-272-9897

Mailing address

880 Tuck St
Lebanon, PA 17042-7477

Phone 717-272-4761 · Fax 717-272-9897

Authorized official

Brett Hoover
Owner
7173042377

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