Provider Demographics
NPI:1326010489
Name:HOEFT, ALLEN EARL (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:EARL
Last Name:HOEFT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3878 JANICE LANE
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49686
Mailing Address - Country:US
Mailing Address - Phone:231-223-7935
Mailing Address - Fax:231-223-7935
Practice Address - Street 1:3287 RACQUET CLUB DR
Practice Address - Street 2:STE C
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684
Practice Address - Country:US
Practice Address - Phone:231-935-1948
Practice Address - Fax:231-935-1990
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI10074122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist