Healthcare Provider Details
I. General information
NPI: 1154546745
Provider Name (Legal Business Name): ANNY A HOFFMAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3040 E MAIN ST
COLUMBUS OH
43209
US
IV. Provider business mailing address
2722 BEXLEY PARK RD
COLUMBUS OH
43209
US
V. Phone/Fax
- Phone: 614-231-4527
- Fax: 614-231-5255
- Phone: 614-239-7425
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 19780 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: