Individual
BRIAN P. HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MPH, DICOI
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17983
FL
1223G0001X
General Practice Dentistry
2021014991
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1981990172
EIN
FL
01
—
2021014991
DENTAL LICENSE
MO
01
—
DN17983
DENTAL LICENSE
FL
Enumeration date
06/18/2007
Last updated
08/28/2024
Update your record
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