MEDICARE: DR. STEVEN MICHAEL HOFFMAN DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	019018444	IL
2	1223G0001X	General Practice Dentistry	2015021495	MO

General Provider Information

NPI Number	:	1346336179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN MICHAEL HOFFMAN DMD

Provider Business Mailing Address
First Line	:	5607 NEOSHO ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63109-2819
Country	:	US
Telephone Number	:	314-353-0900
Fax Number	:	314-353-1018

Provider Business Practice Location Address
First Line	:	5400 WALSH ST
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63109-2859
Country	:	US
Telephone Number	:	314-353-0900
Fax Number	:	314-353-1018

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	01/25/2024

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