Provider Demographics
NPI:1245480854
Name:HOFILENA, VANESSA O (DDS)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:O
Last Name:HOFILENA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1647 ADMIRAL TAUSSIG BOULEVARD
Mailing Address - Street 2:NAVAL MEDICAL CENTER PORTSMOUTH - DENTAL CENTER
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23511
Mailing Address - Country:US
Mailing Address - Phone:757-953-8547
Mailing Address - Fax:
Practice Address - Street 1:1647 ADMIRAL TAUSSIG BOULEVARD
Practice Address - Street 2:NAVAL MEDICAL CENTER PORTSMOUTH - DENTAL CENTER
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23511
Practice Address - Country:US
Practice Address - Phone:757-953-8547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014121341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice