Provider Demographics
NPI:1750496840
Name:HOFFERT, SHAWNA NICOLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHAWNA
Middle Name:NICOLE
Last Name:HOFFERT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MISS
Other - First Name:SHAWNA
Other - Middle Name:NICOLE
Other - Last Name:NEERGAARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:201 CHESTNUT ST.
Mailing Address - Street 2:STE B
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801
Mailing Address - Country:US
Mailing Address - Phone:828-252-7304
Mailing Address - Fax:828-252-8094
Practice Address - Street 1:201 CHESTNUT ST.
Practice Address - Street 2:STE B
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-252-7304
Practice Address - Fax:828-252-8094
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO90151223G0001X
TX236891223G0001X
NC98881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice