Organization
OCEAN DENTAL OF OHIO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD B. HOECKER DDS (OWNER)
(405) 707-0600
Entity
Organization
Contact information
Practice address
3646 E. MAIN STREET, WHITEHALL, OH 43213-2913
(614) 231-4800
(614) 231-4801
Mailing address
206 W. SIXTH 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
—
112063
DORAL PROVIDER NUMBER
OH
05
—
2680899
—
OH
Enumeration date
04/12/2007
Last updated
08/22/2020
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