Healthcare Provider Details

I. General information

NPI: 1598879942
Provider Name (Legal Business Name): HOFFMAN & KARL DENTAL ASSOC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3585 HYLAN BLVD
STATEN ISLAND NY
10308
US

IV. Provider business mailing address

3585 HYLAN BLVD
STATEN ISLAND NY
10308
US

V. Phone/Fax

Practice location:
  • Phone: 718-948-7103
  • Fax: 718-356-6767
Mailing address:
  • Phone: 718-948-7103
  • Fax: 718-356-6767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER J KARL
Title or Position: OWNER PARTNER
Credential: DMD
Phone: 718-948-7103