Provider Demographics
NPI:1356546618
Name:HOFFMAN, HOWARD J (DDS, PA)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:J
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:DDS, PA
Other - Prefix:
Other - First Name:HOWARD
Other - Middle Name:J
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS,PA
Mailing Address - Street 1:21110 BISCAYNE BLVD
Mailing Address - Street 2:STE 402
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-1227
Mailing Address - Country:US
Mailing Address - Phone:305-933-3070
Mailing Address - Fax:305-933-2230
Practice Address - Street 1:21110 BISCAYNE BLVD
Practice Address - Street 2:STE 402
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1227
Practice Address - Country:US
Practice Address - Phone:305-933-3070
Practice Address - Fax:305-933-2230
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00063961223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL6229890001Medicare NSC