Provider Demographics
NPI:1871221986
Name:HOSKINS, MADELEINE (DDS)
Entity type:Individual
Prefix:
First Name:MADELEINE
Middle Name:
Last Name:HOSKINS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 INGLEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6523
Mailing Address - Country:US
Mailing Address - Phone:509-638-9620
Mailing Address - Fax:
Practice Address - Street 1:1640 G ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-4226
Practice Address - Country:US
Practice Address - Phone:541-484-2046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORD11676122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist