Provider Demographics
NPI:1275063232
Name:HOFFMAN, COURTNEY LEEANN (DDS)
Entity Type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:LEEANN
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:COURTNEY
Other - Middle Name:LEEANN
Other - Last Name:KLEIBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:827 S. MAGNOLIA BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MAGNOLIA
Mailing Address - State:TX
Mailing Address - Zip Code:77355
Mailing Address - Country:US
Mailing Address - Phone:281-356-3721
Mailing Address - Fax:
Practice Address - Street 1:827 S. MAGNOLIA BLVD.
Practice Address - Street 2:SUITE 1
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77355
Practice Address - Country:US
Practice Address - Phone:281-356-3721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX329221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice