Provider Demographics
NPI:1407056377
Name:HOGG, JAMES PALMER (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:PALMER
Last Name:HOGG
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 1:9706 NE 180TH CIR
Mailing Address - Street 2:
Mailing Address - City:BATTLE GROUND
Mailing Address - State:WA
Mailing Address - Zip Code:98604-6138
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:155 NE 192ND AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-7477
Practice Address - Country:US
Practice Address - Phone:360-241-0331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000073861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice