Healthcare Provider Details

I. General information

NPI: 1457450306
Provider Name (Legal Business Name): DR. MARTIN HOFF ORAL AND MAXILLOFACIAL SURGERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

139 ARCH ST
REDWOOD CITY CA
94062-1339
US

IV. Provider business mailing address

139 ARCH ST
REDWOOD CITY CA
94062-1339
US

V. Phone/Fax

Practice location:
  • Phone: 650-365-1028
  • Fax: 650-365-1098
Mailing address:
  • Phone: 650-365-1028
  • Fax: 650-365-1098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number34713
License Number StateCA

VIII. Authorized Official

Name: DR. MARTIN JOSEPH HOFF
Title or Position: DOCTOR
Credential: M.D., D.D.S
Phone: 650-365-1028