Provider Demographics
NPI:1326145830
Name:HOFFMEYER, AMANDA BEEKER (DDS)
Entity Type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:BEEKER
Last Name:HOFFMEYER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:DORTHEA
Other - Middle Name:AMANDA
Other - Last Name:BEEKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2109 NEW GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410
Mailing Address - Country:US
Mailing Address - Phone:336-288-7422
Mailing Address - Fax:336-288-7457
Practice Address - Street 1:2109 NEW GARDEN RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410
Practice Address - Country:US
Practice Address - Phone:336-288-7422
Practice Address - Fax:336-288-7457
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC71081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC902N9OtherBLUE CROSS BLUE SHIELD