Provider Demographics
NPI:1336280833
Name:HOGUE, ROBERT P (DDS)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:P
Last Name:HOGUE
Suffix:
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:PO BOX 338
Mailing Address - Street 2:101 NW 3RD ST
Mailing Address - City:BRYANT
Mailing Address - State:AR
Mailing Address - Zip Code:72089-0338
Mailing Address - Country:US
Mailing Address - Phone:501-847-8107
Mailing Address - Fax:501-847-2960
Practice Address - Street 1:101 NW 3RD ST
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72089-0338
Practice Address - Country:US
Practice Address - Phone:501-847-8107
Practice Address - Fax:501-847-2960
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR25531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice