Provider Demographics
NPI:1427141308
Name:HOFFMAN, THOMAS EUGENE (DDS)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:EUGENE
Last Name:HOFFMAN
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 1:4244 RANDMORE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-4442
Mailing Address - Country:US
Mailing Address - Phone:614-459-8111
Mailing Address - Fax:
Practice Address - Street 1:1600 FISHINGER RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2109
Practice Address - Country:US
Practice Address - Phone:614-451-4400
Practice Address - Fax:614-451-4476
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2014-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1473531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice