Healthcare Provider Details

I. General information

NPI: 1962629402
Provider Name (Legal Business Name): WILLIAM E. HOFFMAN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11213 NALL SUITE 130
LEAWOOD KS
66211
US

IV. Provider business mailing address

11213 NALL SUITE 130
LEAWOOD KS
66211
US

V. Phone/Fax

Practice location:
  • Phone: 913-663-2992
  • Fax: 913-451-5835
Mailing address:
  • Phone: 913-663-2992
  • Fax: 913-451-5835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number4332
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: