Provider Demographics
NPI:1265402655
Name:HOFFMAN, FRANK L (DMD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:L
Last Name:HOFFMAN
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 1:1080 BLAKESLEE BOULEVARD DR E
Mailing Address - Street 2:ROUTE 443
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-8753
Mailing Address - Country:US
Mailing Address - Phone:610-377-1942
Mailing Address - Fax:610-377-3070
Practice Address - Street 1:1080 BLAKESLEE BOULEVARD DR E
Practice Address - Street 2:ROUTE 443
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-8753
Practice Address - Country:US
Practice Address - Phone:610-377-1942
Practice Address - Fax:610-377-3070
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026197L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAHO185003OtherINDIVIDUAL BLUE SHIELD #
PACA524925OtherGROUP BLUE SHIELD NUMBER
PACA524925OtherUNITED CONCORDIA #
PACA524925OtherGROUP BLUE SHIELD NUMBER
PA185003JAWMedicare ID - Type UnspecifiedMEDICARE NUMBER