Provider Demographics
NPI:1295123529
Name:HOFFNER, SLATON (DDS)
Entity type:Individual
Prefix:DR
First Name:SLATON
Middle Name:
Last Name:HOFFNER
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 1:10401 W LINCOLN AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53227-1255
Mailing Address - Country:US
Mailing Address - Phone:269-251-2300
Mailing Address - Fax:
Practice Address - Street 1:356 W WOOD ST
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-7827
Practice Address - Country:US
Practice Address - Phone:269-251-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.030212122300000X
IL137.0009291223D0004X, 1223D0004X
WI1001070-15122300000X, 1223D0004X
IN43000388A1223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology
No122300000XDental ProvidersDentist