Provider Demographics
NPI:1255693875
Name:HOBGOOD, JOHN LESLIE III (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LESLIE
Last Name:HOBGOOD
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 BEHRMAN PL
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-8201
Mailing Address - Country:US
Mailing Address - Phone:504-361-3277
Mailing Address - Fax:504-361-3276
Practice Address - Street 1:3501 BEHRMAN PL
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-8201
Practice Address - Country:US
Practice Address - Phone:504-361-3277
Practice Address - Fax:504-361-3276
Is Sole Proprietor?:No
Enumeration Date:2012-06-10
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA63031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice