Dr. Cornelius William Henry Hoekstra
Oral & Maxillofacial Surgeon
12350 Riley St
Holland
, Michigan 49424-9219
Dr. Cornelius William Henry Hoekstra
Oral & Maxillofacial Surgeon
12350 Riley St
Holland
, Michigan 49424-9219
(616) 738-3090
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Cornelius William Henry Hoekstra
- 12350 Riley St
- Holland, MI
- Zip : 49424-9219
- Fax : (616) 738-3090
- Phone : (616) 738-9900
Second Address
- Dr. Cornelius William Henry Hoekstra
- 12350 Riley St
- Holland, MI
- Zip : 49424-9219
- Fax : (616) 738-3090
- Phone : (616) 738-9900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 2901013103 | MI |
National Provider Identifier
| NPI | 1114928454 |
|---|---|
| Provider Name | Dr. Cornelius William Henry Hoekstra |
| First Address | Holland, MI 49424-9219 |
| Second Address | Holland, MI 49424-9219 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/08/2005 |
| Last Update Date | 28/11/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 9757060030 | BCBS MEDICAL (01) | MI |
| T82843 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.