Provider Demographics
NPI:1922829266
Name:BIANCA MONIQUE HOFFMAN, DMD, MS, PLLC
Entity type:Organization
Organization Name:BIANCA MONIQUE HOFFMAN, DMD, MS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MS
Authorized Official - Phone:303-223-2372
Mailing Address - Street 1:11869 BLACKSMITH CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3060
Mailing Address - Country:US
Mailing Address - Phone:720-537-1872
Mailing Address - Fax:
Practice Address - Street 1:10371 PARKGLENN WAY
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3885
Practice Address - Country:US
Practice Address - Phone:303-223-2372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty