MEDICARE: DR. STEPHEN C HOFF 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	1223G0001X	General Practice Dentistry	15759	MA

General Provider Information

NPI Number	:	1396743621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN C HOFF DMD

Provider Business Mailing Address
First Line	:	17 MILBERY LN
Second Line	:
City	:	PEMBROKE
State	:	MA
Zip	:	02359-1700
Country	:	US
Telephone Number	:	781-826-1610
Fax Number	:

Provider Business Practice Location Address
First Line	:	56 NEW DRIFTWAY
Second Line	:	SUITE 205
City	:	SCITUATE
State	:	MA
Zip	:	02066-4533
Country	:	US
Telephone Number	:	781-545-3703
Fax Number	:	781-545-3704

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

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	07/08/2007

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