Provider Demographics
NPI:1427008952
Name:HOEFLING, DOUGLAS RAYMOND (DDS)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:RAYMOND
Last Name:HOEFLING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 W HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PIQUA
Mailing Address - State:OH
Mailing Address - Zip Code:45356-2220
Mailing Address - Country:US
Mailing Address - Phone:937-773-5732
Mailing Address - Fax:937-773-5481
Practice Address - Street 1:312 W HIGH ST
Practice Address - Street 2:
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-2220
Practice Address - Country:US
Practice Address - Phone:937-773-5732
Practice Address - Fax:937-773-5481
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH136801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice