Provider Demographics
NPI:1255318440
Name:HOFMANN, BERNARD HERBERT (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:BERNARD
Middle Name:HERBERT
Last Name:HOFMANN
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 474 BOX 3309
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96351-3309
Mailing Address - Country:US
Mailing Address - Phone:046-806-5686
Mailing Address - Fax:
Practice Address - Street 1:U.S. NAVAL HOSPITAL YOKOSUKA
Practice Address - Street 2:PSC 475 BOX 2
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96350
Practice Address - Country:US
Practice Address - Phone:046-816-8808
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN143121223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics