Individual
JOHN DARRELL HOGGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
105 HOSPITAL DRIVE, LIVINGSTON, AL 35470-1108
(205) 652-7114
(205) 652-6889
Mailing address
PO BOX 1108, 105 HOSPITAL DRIVE, LIVINGSTON, AL 35470-1108
(205) 652-7114
(205) 652-6889
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3514
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-93330
BCBS PREFERRED PROVIDER N
AL
Enumeration date
01/16/2007
Last updated
07/09/2007
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