IndividualActive
Michael Hogan, DDS
NPI 1104010255 · Public Health Dentistry · Camdenton, MO
Provider details
- NPI number
- 1104010255
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 012009 (MO)
Mailing address
108 Cecil St Ste G
Camdenton, MO 65020-7066
Registry dates
- Enumerated
- 2007-08-31
- Last updated
- 2007-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.