=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609316090
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOWARD J HOFFMAN, DDS, PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/03/2017
-----------------------------------------------------
Last Update Date | 08/14/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20801 BISCAYNE BLVD STE 403
-----------------------------------------------------
City | AVENTURA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33180-1474
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-933-3070
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21110 BISCAYNE BLVD SUITE 402
-----------------------------------------------------
City | AVENTURA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33180-1227
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-933-3070
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRES
-----------------------------------------------------
Name | DR. HOWARD J HOFFMAN
-----------------------------------------------------
Credential | D.D.S.
-----------------------------------------------------
Telephone | 305-933-3070
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number | DN 6396
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------