Provider Demographics
NPI:1154546745
Name:HOFFMAN, ANNY A (DDS)
Entity type:Individual
Prefix:
First Name:ANNY
Middle Name:A
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ANNY
Other - Middle Name:L
Other - Last Name:ALMASANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2722 BEXLEY PARK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43209
Mailing Address - Country:US
Mailing Address - Phone:614-239-7425
Mailing Address - Fax:
Practice Address - Street 1:3040 E MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43209
Practice Address - Country:US
Practice Address - Phone:614-231-4527
Practice Address - Fax:614-231-5255
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH19780122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist