Organization
NORTH IOWA ORAL SURGERY AND DENTAL IMPLANT CENTER, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYELL R. HOGG D.D.S. (OWNER)
(641) 424-1656
Entity
Organization
Contact information
Practice address
1530 S MONROE AVE, MASON CITY, IA 50401
(641) 424-1656
(641) 424-2219
Mailing address
1530 S MONROE AVE, MASON CITY, IA 50401
(641) 424-1656
(641) 424-2219
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
IA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
07778
IA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
08489
IA
Other
Enumeration date
02/20/2007
Last updated
01/04/2018
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