Healthcare Provider Details

I. General information

NPI: 1477765063
Provider Name (Legal Business Name): HOWARD HOFFMAN NMI HOFFMAN DDS PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7440 SPRING VILLAGE DR
SPRINGFIELD VA
22150-4446
US

IV. Provider business mailing address

9661 MAIN ST SUITE C
FAIRFAX VA
22031-3757
US

V. Phone/Fax

Practice location:
  • Phone: 703-923-4614
  • Fax:
Mailing address:
  • Phone: 703-425-3737
  • Fax: 703-425-3762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HOWARD HOFFMAN
Title or Position: OWNER
Credential: DDS
Phone: 703-425-3737