Provider Demographics
NPI:1710243407
Name:RL HOFFMAN DDS PLLC
Entity Type:Organization
Organization Name:RL HOFFMAN DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LLOYD
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:832-691-7346
Mailing Address - Street 1:10666 MILLS RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4616
Mailing Address - Country:US
Mailing Address - Phone:281-469-2873
Mailing Address - Fax:281-469-3595
Practice Address - Street 1:10666 MILLS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4616
Practice Address - Country:US
Practice Address - Phone:281-469-2873
Practice Address - Fax:281-469-3595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-06
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20007261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery