Dr. Dennis Shelly Koffer, MD
Surgery in Smithfield, NC. Individual provider (NPI-1).
NPI number1982609707
StatusActive
Last updated in NPPESMar 24, 2021
Details
- NPI
- 1982609707
- Entity type
- Individual (NPI-1)
- Name
- Dr. Dennis Shelly Koffer
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2005
- Certification date
- Mar 24, 2021
- Last updated
- Mar 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 9300504 | NC | Yes |
Practice location
131 E Market StSmithfield, NC 27577-3915
Phone 919-934-5441 · Fax 919-934-0152
Mailing address
131 E Market StSmithfield, NC 27577-3915
Phone 919-934-5441 · Fax 919-934-0152
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