Healthcare Provider Details

I. General information

NPI: 1750496840
Provider Name (Legal Business Name): SHAWNA NICOLE HOFFERT D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS SHAWNA NICOLE NEERGAARD

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 04/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CHESTNUT ST. STE B
ASHEVILLE NC
28801
US

IV. Provider business mailing address

201 CHESTNUT ST. STE B
ASHEVILLE NC
28801
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-7304
  • Fax: 828-252-8094
Mailing address:
  • Phone: 828-252-7304
  • Fax: 828-252-8094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9015
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number23689
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number9888
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: