Provider Demographics
NPI:1912183807
Name:HOFFMAN, DENNIS CHARLES (DDS)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:CHARLES
Last Name:HOFFMAN
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 1:103 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:OVID
Mailing Address - State:MI
Mailing Address - Zip Code:48866-9601
Mailing Address - Country:US
Mailing Address - Phone:989-834-2298
Mailing Address - Fax:989-834-2195
Practice Address - Street 1:103 W FRONT ST
Practice Address - Street 2:
Practice Address - City:OVID
Practice Address - State:MI
Practice Address - Zip Code:48866-9601
Practice Address - Country:US
Practice Address - Phone:989-834-2298
Practice Address - Fax:989-834-2195
Is Sole Proprietor?:No
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010126821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice