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Individual

DR. TIMOTHY TED HOPKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
590 FALLS AVE, TWIN FALLS, ID 83301-3314
(208) 733-1182
(208) 733-3341
Mailing address
590 FALLS AVE, TWIN FALLS, ID 83301-3314
(208) 733-1182
(208) 733-3341

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D3944-OS
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010157302
BLUE SHIELD OF IDAHO
ID
01
6P081
BLUE CROSS MEDICAL
ID
01
6P082
BLUE CROSS DENTAL
ID
05
807501100
ID
05
807513800
ID
Enumeration date
01/30/2007
Last updated
07/25/2014
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