Healthcare Provider Details

I. General information

NPI: 1811286560
Provider Name (Legal Business Name): CAITLIN ELIZABETH HOFFMAN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 09/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1081 LONG POND RD SUITE 120
ROCHESTER NY
14626-5002
US

IV. Provider business mailing address

1081 LONG POND RD SUITE 120
ROCHESTER NY
14626-5002
US

V. Phone/Fax

Practice location:
  • Phone: 585-225-8010
  • Fax: 585-621-5534
Mailing address:
  • Phone: 585-225-8010
  • Fax: 585-621-5534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0560351
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: