MEDICARE: RALPH M. HOFFMANN DMD PA

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	1223P0700X	Prosthodontics

General Provider Information

NPI Number	:	1881539575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RALPH M. HOFFMANN DMD PA

Provider Business Mailing Address
First Line	:	3535 RANDOLPH RD. SUITE R100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211
Country	:	US
Telephone Number	:	704-364-3770
Fax Number	:	704-364-5878

Provider Business Practice Location Address
First Line	:	3535 RANDOLPH RD. SUITE R100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211
Country	:	US
Telephone Number	:	704-364-3770
Fax Number	:	704-364-5878

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. RALPH M HOFFMANN
Credential	:	DMD
Telephone Number	:	704-364-3770

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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