Individual
DR. BRADLEY JAY HOPPENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
112 W 4TH ST, OGALLALA, NE 69153-2564
(308) 284-4421
(308) 284-6616
Mailing address
112 W 4TH ST, OGALLALA, NE 69153-2564
(308) 284-4421
(308) 284-6616
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5159
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470683740
—
NE
Enumeration date
03/26/2012
Last updated
03/26/2012
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