Hoffman, Gary Donovan

Hoffman, Gary Donovan is an individual health care provider with primary practice located at 946 E State St , Mason City IA 50401-4202. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Hoffman, Gary Donovan can be contacted via phone (641) 424-4521.

Contact Information

Primary practice address
946 E State St Mason City IA 50401-4202
Phone: (641) 424-4521
Fax: (641) 424-8403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6324 Iowa

Profile Details

NPI number 1083783393
LBN Legal business name Hoffman, Gary Donovan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083783393 NPPES
Iowa Other 08750 BLUE CROSS BLUE SHIELD
Iowa Other 6324 BLUE CROSS BLUE SHIELD
Iowa Other 971929 BLUE CROSS BLUE SHIELD
Iowa MEDICAID 1151654 BLUE CROSS BLUE SHIELD

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