Healthcare Provider Details

I. General information

NPI: 1053759225
Provider Name (Legal Business Name): ROBYN M HOFELICH DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 LONGPOINT WAY SUITE 500
FRANKLIN TN
37064
US

IV. Provider business mailing address

437 AVON RIVER RD
FRANKLIN TN
37064-8340
US

V. Phone/Fax

Practice location:
  • Phone: 615-656-5544
  • Fax: 615-656-5545
Mailing address:
  • Phone: 618-806-2744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number10839
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: