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Individual

CHAD BRANDON HOECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
510 S DUCK ST, STILLWATER, OK 74074-4051
(405) 377-7300
Mailing address
206 W 6TH AVE, STILLWATER, OK 74074-4017
(405) 707-6199
(405) 707-0602

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019.027257
IL
1223G0001X
General Practice Dentistry
0401411321
VA
1223G0001X
General Practice Dentistry
08453
IA
1223G0001X
General Practice Dentistry
11920
TX
1223G0001X
General Practice Dentistry
12010776A
IN
1223G0001X
General Practice Dentistry
1222
AK
1223G0001X
General Practice Dentistry
30-022103
OH
1223G0001X
General Practice Dentistry
3549
AR
1223G0001X
General Practice Dentistry
Primary
5359
OK
1223G0001X
General Practice Dentistry
6596
NE
1223G0001X
General Practice Dentistry
6898
AZ
1223G0001X
General Practice Dentistry
9308
CO
1223G0001X
General Practice Dentistry
DE00010483
WA
1223G0001X
General Practice Dentistry
DS0000008614
TN
1223G0001X
General Practice Dentistry
DS037081
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100091480B
OK
01
17579
DORAL DENTAL OF OHIO
OH
05
26241491
OH
Enumeration date
09/20/2006
Last updated
11/19/2010
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