Individual
DR. STEPHEN R HOOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2710 DOUGLAS DR, SUITE C, BOSSIER CITY, LA 71111-3497
(318) 742-2272
(318) 742-2975
Mailing address
2710 DOUGLAS DR, SUITE C, BOSSIER CITY, LA 71111-3497
(318) 742-2272
(318) 742-2975
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4193
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
804528
UNITED CONCORDIA
LA
01
—
G8212
BLUE CROSS BLUE SHIELD LA
LA
Enumeration date
12/21/2006
Last updated
07/08/2007
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