Individual provider · Type 1 NPI

Travis Hogan

General Practice Dentistry · Phoenix, AZ

NPI number 1972155414 Active

Practice location

3409 N 56th St Ste B
Phoenix, AZ 85018-6150

Call (480) 947-4791 Map

Other practice locations

  • 21295 S Ellsworth Loop Rd Ste 103, Queen Creek, AZ 85142-9867 · (480) 771-8190

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD012588 (AZ)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1972155414

Travis Hogan's National Provider Identifier is 1972155414, issued on Jul 15, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 29, 2025.