Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL BRUCE HOGAN, DDS
ActiveDental Public Health · CAMDENTON, MO
Registration Details
- NPI Number
- 1104010255
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2007 (18.640261606016 yrs)
- Last Updated
- Aug 31, 2007
- License
-
012009 (MO)
Practice Information
- Address
-
108 CECIL ST STE GCAMDENTON, MO, 650207066Browse MO providers · Browse ZIP 65020
- Phone
- 5733171473
- Primary Specialty
-
Dental Public Health
1223D0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.