Provider Demographics
NPI:1366511750
Name:HOKE ROAD DENTAL CARE
Entity type:Organization
Organization Name:HOKE ROAD DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:HARLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:937-832-8000
Mailing Address - Street 1:7701 HOKE ROAD
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45315
Mailing Address - Country:US
Mailing Address - Phone:937-832-8000
Mailing Address - Fax:937-832-8008
Practice Address - Street 1:7701 HOKE ROAD
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:OH
Practice Address - Zip Code:45315
Practice Address - Country:US
Practice Address - Phone:937-832-8000
Practice Address - Fax:937-832-8008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty