Provider Demographics
NPI:1861843427
Name:HOGGARD, JOHN ELLIOTT (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ELLIOTT
Last Name:HOGGARD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2252 YAUPON DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7329
Mailing Address - Country:US
Mailing Address - Phone:252-531-9375
Mailing Address - Fax:
Practice Address - Street 1:1609 W ARLINGTON BLVD
Practice Address - Street 2:UNIT 107
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5610
Practice Address - Country:US
Practice Address - Phone:252-752-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2021-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice