Provider Demographics
NPI:1902021637
Name:SHOFF, DONALD FRANCIS (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:FRANCIS
Last Name:SHOFF
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
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Mailing Address - Street 1:350 WALNUT STREET
Mailing Address - Street 2:P.O. BOX 1133
Mailing Address - City:RED BLUFF
Mailing Address - State:CA
Mailing Address - Zip Code:96080
Mailing Address - Country:US
Mailing Address - Phone:530-529-1997
Mailing Address - Fax:530-529-0935
Practice Address - Street 1:350 WALNUT ST
Practice Address - Street 2:
Practice Address - City:RED BLUFF
Practice Address - State:CA
Practice Address - Zip Code:96080-3347
Practice Address - Country:US
Practice Address - Phone:530-529-1997
Practice Address - Fax:530-529-0935
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0329031223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics