Provider Demographics
NPI:1447691936
Name:HOFFMAN, BRANDON MICHAEL (DMD)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:MICHAEL
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1821 WESTINGHOUSE ROAD
Mailing Address - Street 2:SUITE 1130
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626
Mailing Address - Country:US
Mailing Address - Phone:512-843-2441
Mailing Address - Fax:512-843-2442
Practice Address - Street 1:1821 WESTINGHOUSE ROAD
Practice Address - Street 2:SUITE 1130
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626
Practice Address - Country:US
Practice Address - Phone:512-843-2441
Practice Address - Fax:512-843-2442
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-11
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29160122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist