Provider Demographics
NPI:1053447227
Name:HOGAN, ANN ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:ELIZABETH
Last Name:HOGAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 STRAWBERRY HILL AVE
Mailing Address - Street 2:SUITE 2F
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2631
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26 STRAWBERRY HILL AVE
Practice Address - Street 2:SUITE 2F
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2631
Practice Address - Country:US
Practice Address - Phone:203-559-0653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT009662122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist