Individual
JAMES D HOAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
430 WINDWARD WAY, SUITE 201, KALISPELL, MT 59901-2623
(406) 752-8805
(406) 752-9007
Mailing address
430 WINDWARD WAY, SUITE 201, KALISPELL, MT 59901-2623
(406) 752-8805
(406) 752-9007
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2018
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000111724
—
MT
01
—
20184
BCBS
—
Enumeration date
09/28/2006
Last updated
07/08/2007
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