Provider Demographics
NPI:1861402240
Name:HOOPER, KIRK CHILTON (DDS)
Entity type:Individual
Prefix:DR
First Name:KIRK
Middle Name:CHILTON
Last Name:HOOPER
Suffix:
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 1:5805 COIT RD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-6989
Mailing Address - Country:US
Mailing Address - Phone:972-867-5185
Mailing Address - Fax:972-867-5185
Practice Address - Street 1:5805 COIT RD
Practice Address - Street 2:SUITE 404
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-6989
Practice Address - Country:US
Practice Address - Phone:972-867-5185
Practice Address - Fax:972-867-5185
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX141961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice