# CHARLES R HOEG DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hoeg Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699380246
- **Authorized official:** DR. CHARLES RICHARD HOEG DMD (DENTIST OWNER)
- **Authorized official phone:** (631) 241-6405

## Contact information

- **Practice address:** 45 ROUTE 25A STE A1, SHOREHAM, NY 11786-1389
- **Practice address phone:** (631) 241-6405
- **Practice address fax:** (631) 744-2651
- **Mailing address:** 2519 WELLSPRING ST, CARLSBAD, CA 92010-5604
- **Mailing address phone:** (631) 241-6405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/10/2020
- **Last updated:** 09/10/2020
