Healthcare Provider Details

I. General information

NPI: 1780252486
Provider Name (Legal Business Name): STEVEN HOFFER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2021
Last Update Date: 07/14/2022
Certification Date: 07/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 CONGRESSIONAL LN STE 501
ROCKVILLE MD
20852-1561
US

IV. Provider business mailing address

5535 CHEVY CHASE PKWY NW
WASHINGTON DC
20015-1769
US

V. Phone/Fax

Practice location:
  • Phone: 301-881-9040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number17464
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: