| NPI | 1538754122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ELLIOTT HOGGARD Dentist 252-531-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2025-08-27 |