Hodapp, Paul Kevin

Hodapp, Paul Kevin is an individual health care provider with primary practice located at 1000 E 1St St Ste 108 , Duluth MN 55805-2297. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Hodapp, Paul Kevin can be contacted via phone (218) 722-1854.

Contact Information

Primary practice address
1000 E 1St St Ste 108 Duluth MN 55805-2297
Phone: (218) 722-1854
Fax: (218) 722-6424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D9909 Minnesota

Profile Details

NPI number 1750475299
LBN Legal business name Hodapp, Paul Kevin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jan 7th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750475299 NPPES
Minnesota MEDICAID 017320700

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