Provider Demographics
NPI:1679903835
Name:HOPKINS, CATHERINE (DDS)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:CARLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1591 GRIFFIN RD
Mailing Address - Street 2:
Mailing Address - City:TWENTYNINE PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92278
Mailing Address - Country:US
Mailing Address - Phone:319-335-7440
Mailing Address - Fax:
Practice Address - Street 1:1591 GRIFFIN RD
Practice Address - Street 2:
Practice Address - City:TWENTYNINE PALMS
Practice Address - State:CA
Practice Address - Zip Code:92278
Practice Address - Country:US
Practice Address - Phone:760-830-7049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-25
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA30572390200000X
VA0401414267122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program