Healthcare Provider Details

I. General information

NPI: 1538754122
Provider Name (Legal Business Name): JOHN E HOGGARD DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2252 YAUPON DR
WILMINGTON NC
28401-7329
US

IV. Provider business mailing address

2252 YAUPON DR
WILMINGTON NC
28401-7329
US

V. Phone/Fax

Practice location:
  • Phone: 252-531-9375
  • Fax:
Mailing address:
  • Phone: 252-531-9375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOHN ELLIOTT HOGGARD
Title or Position: DENTIST
Credential: DMD
Phone: 252-531-9375