Healthcare Provider Details

I. General information

NPI: 1427461383
Provider Name (Legal Business Name): HEATHER MARIE HOFFMAN D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 N GLEBE RD STE 203
ARLINGTON VA
22207-3558
US

IV. Provider business mailing address

2501 N GLEBE RD STE 203
ARLINGTON VA
22207-3558
US

V. Phone/Fax

Practice location:
  • Phone: 703-504-2152
  • Fax: 703-504-2142
Mailing address:
  • Phone: 703-504-2152
  • Fax: 703-504-2142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number2901600553
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDN1858069
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number0401415108
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: