Individual
DR. JEFFREY A. HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2205 CHANNING WAY, SUITE B, IDAHO FALLS, ID 83404-8016
(208) 529-3660
(208) 529-3666
Mailing address
1520 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 522-4700
(208) 522-5416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3085
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6E169
BLUE CROSS OF IDAHO
ID
Enumeration date
11/07/2006
Last updated
05/15/2024
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