Individual
DR. ROBERT M HOGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1201 S 157TH ST, OMAHA, NE 68130-4910
(402) 697-0765
(402) 502-9754
Mailing address
1201 S 157TH ST, OMAHA, NE 68130-4910
(402) 697-0765
(402) 502-9754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5515
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47070781000
—
NE
Enumeration date
11/09/2005
Last updated
07/08/2007
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