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NPI Code Detail

MEDICARE: ROB HOGGE DDS PLLC

MEDICARE: ROB HOGGE DDS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry25553TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457625964
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROB HOGGE DDS PLLC
Provider Business Mailing Address
First Line : 651 NORTH US HIGHWAY 183
Second Line : SUITE 150
City : LEANDER
State : TX
Zip : 78641-7006
Country : US
Telephone Number : 512-260-0123
Fax Number : 512-260-0110
Provider Business Practice Location Address
First Line : 651 NORTH US HIGHWAY 183
Second Line : SUITE 150
City : LEANDER
State : TX
Zip : 78641-7006
Country : US
Telephone Number : 512-260-0123
Fax Number : 512-260-0110
Authorized Official
Title or Position : OWNER
Name : ROBERT HOGGE
Credential : DDS
Telephone Number : 512-260-0123
Provider Enumeration Date : 03/01/2012
Last Update Date : 03/01/2012

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