Provider Demographics
NPI:1811108954
Name:HOFFMAN, DENNIS NONE (DDS)
Entity type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:NONE
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 1:1629 EARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-2524
Mailing Address - Country:US
Mailing Address - Phone:610-449-5084
Mailing Address - Fax:
Practice Address - Street 1:107 RUTGERS AVE # S2
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-1731
Practice Address - Country:US
Practice Address - Phone:610-543-7444
Practice Address - Fax:610-543-4417
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS016438L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice