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Individual

DR. JACQUELINE SCOTT HOGGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1100 N COLLEGE AVE, DENTAL (160), FAYETTEVILLE, AR 72703-1944
(479) 443-3401
Mailing address
PO BOX 2429, SMYRNA, TN 37167-1719
(615) 355-3451

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
3658
AR
1223G0001X
General Practice Dentistry
Primary
3658
AR

Other

Enumeration date
06/06/2008
Last updated
09/03/2019
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