Provider Demographics
NPI:1740297456
Name:HOFFMAN, DAVID WILLARD (DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLARD
Last Name:HOFFMAN
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 1:924 COLONIAL AVE
Mailing Address - Street 2:SUITE I
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3450
Mailing Address - Country:US
Mailing Address - Phone:717-843-8055
Mailing Address - Fax:717-852-9557
Practice Address - Street 1:924 COLONIAL AVE
Practice Address - Street 2:SUITE I
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3450
Practice Address - Country:US
Practice Address - Phone:717-843-8055
Practice Address - Fax:717-852-9557
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS020568L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice