Organization
OCEAN DENTAL OF OHIO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD B. HOECKER (OWNER)
(405) 707-0600
Entity
Organization
Contact information
Practice address
8101 EUCLID AVE, CLEVELAND, OH 44103-5059
(216) 229-2500
(216) 229-2501
Mailing address
206 W 6TH AVE, STILLWATER, OK 74074-4017
(405) 707-0600
(405) 707-0602
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109232
DORAL PROVIDER NUMBER
OH
05
—
2624217
—
OH
Enumeration date
04/12/2007
Last updated
08/22/2020
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