Provider Demographics
NPI:1376987776
Name:CHRISTOPHER S HOFFPAUIR DDS PLLC
Entity Type:Organization
Organization Name:CHRISTOPHER S HOFFPAUIR DDS PLLC
Other - Org Name:REVIVE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:INAS
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHIMA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:281-756-9990
Mailing Address - Street 1:2101 HIGHWAY 35 BYP N STE 106
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-9654
Mailing Address - Country:US
Mailing Address - Phone:281-767-9990
Mailing Address - Fax:281-715-5464
Practice Address - Street 1:2101 HIGHWAY 35 BYP N STE 106
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-9654
Practice Address - Country:US
Practice Address - Phone:281-767-9990
Practice Address - Fax:281-756-9690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX279321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty