Provider Demographics
NPI:1689833030
Name:HOFF, THOMAS FRANK (DDS)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:FRANK
Last Name:HOFF
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 1:3347 E SWALLOW ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4869
Mailing Address - Country:US
Mailing Address - Phone:417-725-3108
Mailing Address - Fax:417-725-2918
Practice Address - Street 1:600 MCCROSKEY ST
Practice Address - Street 2:
Practice Address - City:NIXA
Practice Address - State:MO
Practice Address - Zip Code:65714-9408
Practice Address - Country:US
Practice Address - Phone:417-725-3108
Practice Address - Fax:417-725-2918
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008014157122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist