Healthcare Provider Details

I. General information

NPI: 1740748169
Provider Name (Legal Business Name): YASMIN ALMA HOFFMAN DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2753 STATE ROAD 580
CLEARWATER FL
33761-3355
US

IV. Provider business mailing address

2753 STATE ROAD 580 STE 108
CLEARWATER FL
33761-3351
US

V. Phone/Fax

Practice location:
  • Phone: 727-799-6995
  • Fax:
Mailing address:
  • Phone: 727-799-6995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN28483
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: