Provider Demographics
NPI:1225119712
Name:HOGGAN, TODD DANIEL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:DANIEL
Last Name:HOGGAN
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 JEWETT ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-2645
Mailing Address - Country:US
Mailing Address - Phone:507-532-5789
Mailing Address - Fax:
Practice Address - Street 1:513 JEWETT ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-2645
Practice Address - Country:US
Practice Address - Phone:507-532-5789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT521853299211223X0400X
MNS1191223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty