Healthcare Provider Details

I. General information

NPI: 1013235860
Provider Name (Legal Business Name): DAVID ERIC HOFFMAN DMD, DHSC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 07/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11144 N FRANK LLOYD WRIGHT BLVD #220
SCOTTSDALE AZ
85259-2646
US

IV. Provider business mailing address

11144 N FRANK LLOYD WRIGHT BLVD
SCOTTSDALE AZ
85259-2646
US

V. Phone/Fax

Practice location:
  • Phone: 480-949-1950
  • Fax:
Mailing address:
  • Phone: 480-586-6540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberD7900
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: