Provider Demographics
NPI:1538653191
Name:HOOVER, TIMOTHY ERNEST II (DDS)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ERNEST
Last Name:HOOVER
Suffix:II
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9910 SANDLEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-1765
Mailing Address - Country:US
Mailing Address - Phone:240-329-6989
Mailing Address - Fax:
Practice Address - Street 1:11151 ROBINWOOD DR
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6703
Practice Address - Country:US
Practice Address - Phone:301-739-5551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16458122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist