Robert M Hogan D.d.s., P.c | |
1201 S 157th St Ste 105 Omaha NE 68130-4910 | |
(402) 697-0765 | |
(402) 502-9754 |
Full Name | Robert M Hogan D.d.s., P.c |
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Speciality | Dentist - General Practice |
Location | 1201 S 157th St Ste 105, Omaha, Nebraska |
Authorized Official Name and Position | Robert Michael Hogan (OWNER) |
Authorized Official Contact | 4026970765 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert M Hogan D.d.s., P.c 1201 S 157th St Ste 105 Omaha NE 68130-4910 Ph: (402) 697-0765 | Robert M Hogan D.d.s., P.c 1201 S 157th St Ste 105 Omaha NE 68130-4910 Ph: (402) 697-0765 |
NPI Number | 1366028938 |
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Provider Enumeration Date | 03/23/2021 |
Last Update Date | 05/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366028938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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