Individual
BRIAN P. HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MPH, DICOI
Contact information
Practice address
1935 S RANGE LINE RD, JOPLIN, MO 64804-3238
(417) 726-4087
Mailing address
1182 S OAK RIDGE RD, NIXA, MO 65714-8277
(813) 446-6757
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
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