Provider Demographics
NPI:1922529908
Name:HOGGARD, CAROLINE KENNEDY (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:KENNEDY
Last Name:HOGGARD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:CAROLINE
Other - Middle Name:ELIZABETH
Other - Last Name:KENNEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1606 OAKLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-4625
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2252 YAUPON DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7329
Practice Address - Country:US
Practice Address - Phone:910-363-0321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10681122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist