Provider Demographics
NPI:1699009274
Name:HOGUE, HOGUE & ROUHANA, LLC
Entity Type:Organization
Organization Name:HOGUE, HOGUE & ROUHANA, LLC
Other - Org Name:WESTSIDE DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:B
Authorized Official - Last Name:HOGUE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:504-368-7000
Mailing Address - Street 1:4001 MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70114-6801
Mailing Address - Country:US
Mailing Address - Phone:504-368-7000
Mailing Address - Fax:504-368-7095
Practice Address - Street 1:4001 MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-6801
Practice Address - Country:US
Practice Address - Phone:504-368-7000
Practice Address - Fax:504-368-7095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA44491223G0001X
LA32931223G0001X
LA59921223G0001X
LA37711223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty