# G. ROBERT HOPPER, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982787073
- **Authorized official:** G. ROBERT HOPPER D.D.S. (OWNER)
- **Authorized official phone:** (731) 664-5615

## Contact information

- **Practice address:** 468 N PARKWAY, JACKSON, TN 38305-2857
- **Practice address phone:** (731) 664-5615
- **Practice address fax:** (731) 661-9805
- **Mailing address:** 468 N PARKWAY, JACKSON, TN 38305-2857
- **Mailing address phone:** (731) 664-5615
- **Mailing address fax:** (731) 661-9805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2894 | TN | Yes |

## Other

- **Enumeration date:** 10/23/2006
- **Last updated:** 08/22/2020