| Hogan Family Dental | |
|
1820 Valley Dr E Miles City MT 59301-2701 | |
| (406) 234-2926 | |
| Not Available |
| Full Name | Hogan Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 1820 Valley Dr E, Miles City, Montana |
| Authorized Official Name and Position | Eric Hogan (OWNER) |
| Authorized Official Contact | 4062342926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hogan Family Dental 1820 Valley Dr E Miles City MT 59301-2701 Ph: (406) 234-2926 | Hogan Family Dental 1820 Valley Dr E Miles City MT 59301-2701 Ph: (406) 234-2926 |
| NPI Number | 1225302227 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 03/08/2012 |
| Medicare PECOS PAC ID | 3870804537 |
|---|---|
| Medicare Enrollment ID | O20150622001724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225302227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2197 (Montana) | Primary |
| Provider Name | Eric Thomas Hogan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023145216 PECOS PAC ID: 4789995440 Enrollment ID: I20150622001794 |
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