Individual provider · Type 1 NPI
Grant Michael Hogan, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Suwanee, GA
NPI number
1689765547
Active
Practice location
1380 Peachtree Industrial Blvd, Suite 100
Suwanee, GA 30024-3769
Fax (770) 232-2733
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 057479 (GA) |
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.
Another provider at this address
Other oral and maxillofacial surgery (dentist) providers in Suwanee
About NPI 1689765547
Grant Michael Hogan, DDS, MD's National Provider Identifier is 1689765547, issued on Sep 27, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Suwanee, GA. The record was last updated on Aug 26, 2014.