Provider Demographics
NPI:1316106040
Name:HOFFMAN, ANDREW MARC (DMD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MARC
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:608 GORDON DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1263
Mailing Address - Country:US
Mailing Address - Phone:610-524-0115
Mailing Address - Fax:610-280-7802
Practice Address - Street 1:608 GORDON DR
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1263
Practice Address - Country:US
Practice Address - Phone:610-524-0115
Practice Address - Fax:610-280-7802
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-029909-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice