| Dr Grant Michael Hogan, DDS, MD | |
|
1380 Peachtree Industrial Blvd, Suite 100, Suwanee, GA 30024-3769 | |
| (770) 232-1191 | |
| (770) 232-2733 |
| Full Name | Dr Grant Michael Hogan |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1380 Peachtree Industrial Blvd, Suwanee, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689765547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 057479 (Georgia) | Primary |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Grant Michael Hogan, DDS, MD 1380 Peachtree Industrial Blvd, Suite 100, Suwanee, GA 30024-3769 Ph: (770) 232-1191 | Dr Grant Michael Hogan, DDS, MD 1380 Peachtree Industrial Blvd, Suite 100, Suwanee, GA 30024-3769 Ph: (770) 232-1191 |
Dr. Susan M Nissley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2052 Lawrenceville Suwanee Rd, Suite A, Suwanee, GA 30024 Phone: 770-962-8253 | |
Dr. Neelu Kalra, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3525 Lawrenceville-suwanee Rd, Suite 100, Suwanee, GA 30032 Phone: 678-793-9105 Fax: 678-793-9105 | |
Dr. Daniel Woohyun Cho, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3495 Peachtree Pkwy Ste 115, Suwanee, GA 30024 Phone: 678-400-7567 Fax: 678-400-7567 | |
Dr. Sehee Jenny Kim, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1120 Peachtree Industrial Blvd Ste 203, Suwanee, GA 30024 Phone: 678-835-9550 Fax: 678-835-9559 | |
Dr. Anisa Lee Hailey, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4055 Johns Creek Pkwy, Suite B, Suwanee, GA 30024 Phone: 678-436-1300 Fax: 678-436-1303 | |
Priya Gulati, DDS Dentist Medicare: Medicare Enrolled Practice Location: 350 Town Center Ave, Suite 301, Suwanee, GA 30024 Phone: 678-448-4121 | |
Dr. Yonatan Polack, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1325 Satellite Blvd Nw, Suite 1304, Suwanee, GA 30024 Phone: 770-497-9111 Fax: 770-623-5594 |