Provider Demographics
NPI:1962849604
Name:HOFFMAN, RONALD EUGENE III (DMD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:EUGENE
Last Name:HOFFMAN
Suffix:III
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1687
Mailing Address - Street 2:5269 HOPKINSVILLE RD
Mailing Address - City:CADIZ
Mailing Address - State:KY
Mailing Address - Zip Code:42211-1687
Mailing Address - Country:US
Mailing Address - Phone:270-522-5100
Mailing Address - Fax:270-522-5103
Practice Address - Street 1:5269 HOPKINSVILLE RD
Practice Address - Street 2:
Practice Address - City:CADIZ
Practice Address - State:KY
Practice Address - Zip Code:42211
Practice Address - Country:US
Practice Address - Phone:270-522-5100
Practice Address - Fax:270-522-5103
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY93001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice