Healthcare Provider Details

I. General information

NPI: 1174402713
Provider Name (Legal Business Name): HOFFMAN FAMILY ORTHODONTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5159 WHEELIS DR
MEMPHIS TN
38117-4519
US

IV. Provider business mailing address

500 S GOODLETT ST
MEMPHIS TN
38117-3608
US

V. Phone/Fax

Practice location:
  • Phone: 260-341-2426
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. RACHEL ANNE HOFFMAN
Title or Position: OWNER
Credential: MS, DDS, MS
Phone: 260-341-2426