Provider Demographics
NPI:1235454992
Name:HOFFMAN, JESSIE ELIZABETH (DMD)
Entity Type:Individual
Prefix:DR
First Name:JESSIE
Middle Name:ELIZABETH
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:JESSIE
Other - Middle Name:ELIZABETH
Other - Last Name:MCQUISTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:9782 BRANT AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-4342
Mailing Address - Country:US
Mailing Address - Phone:412-780-8752
Mailing Address - Fax:
Practice Address - Street 1:20440 ROUTE 19
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-7543
Practice Address - Country:US
Practice Address - Phone:724-772-9688
Practice Address - Fax:724-772-9695
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0390651223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry