Individual provider · Type 1 NPI

Timothy D. Hogan, DMD

Oral and Maxillofacial Surgery (Dentist) · Fort Myers, FL

NPI number 1164482873 Active

Practice location

8267 College Pkwy
Fort Myers, FL 33919-5193

Fax (239) 936-1954

Mailing address

8267 College Parkway
Fort Myers, FL 33919

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN11283 (FL)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1164482873

Timothy D. Hogan, DMD's National Provider Identifier is 1164482873, issued on Mar 25, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Fort Myers, FL. The record was last updated on Sep 10, 2010.