Provider Demographics
NPI:1720555956
Name:DAVID HOFFMAN SCOTTSDALE ORTHODONTICS PC
Entity Type:Organization
Organization Name:DAVID HOFFMAN SCOTTSDALE ORTHODONTICS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-513-0884
Mailing Address - Street 1:11144 N FRANK LLOYD WRIGHT BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-2657
Mailing Address - Country:US
Mailing Address - Phone:480-451-3088
Mailing Address - Fax:
Practice Address - Street 1:11144 N FRANK LLOYD WRIGHT BLVD STE 220
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-2657
Practice Address - Country:US
Practice Address - Phone:480-451-3088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty