Provider Demographics
NPI:1922109693
Name:JOFFE, JEFFREY F (DMD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:F
Last Name:JOFFE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 TAMIAMI TRL
Mailing Address - Street 2:SUITE 112
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-6987
Mailing Address - Country:US
Mailing Address - Phone:941-637-6003
Mailing Address - Fax:941-637-1819
Practice Address - Street 1:2705 TAMIAMI TRL
Practice Address - Street 2:SUITE 112
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-6987
Practice Address - Country:US
Practice Address - Phone:941-637-6003
Practice Address - Fax:941-637-1819
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 118241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice