Provider Demographics
NPI:1225499239
Name:HOFFMAN HERNANDEZ, HALEY ERIN (DDS)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:ERIN
Last Name:HOFFMAN HERNANDEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:HALEY
Other - Middle Name:ERIN
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2610 ALLEN ST APT 5507
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2445
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1439 N HIGHWAY 77 STE 101
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-5120
Practice Address - Country:US
Practice Address - Phone:972-923-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-18
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADR60650375122300000X
TX337361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist