Individual
DR. TIMOTHY TED HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
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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