Healthcare Provider Details

I. General information

NPI: 1407371107
Provider Name (Legal Business Name): HILLARY ELISE HOFFENBACKER DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 04/08/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 COMMONS WAY STE 102
KALISPELL MT
59901-1906
US

IV. Provider business mailing address

400 12TH AVE WEST
COLUMBIA FALLS MT
59912
US

V. Phone/Fax

Practice location:
  • Phone: 406-314-6353
  • Fax:
Mailing address:
  • Phone: 406-892-2104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDEN-DEN-LIC-13499
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: