Provider Demographics
NPI:1982827770
Name:HOGGAN, BRENT R (DDS,MS,PC)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:R
Last Name:HOGGAN
Suffix:
Gender:M
Credentials:DDS,MS,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26 W DRY CREEK CIR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8063
Mailing Address - Country:US
Mailing Address - Phone:303-730-2083
Mailing Address - Fax:303-730-6854
Practice Address - Street 1:26 W DRY CREEK CIR
Practice Address - Street 2:SUITE 310
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8063
Practice Address - Country:US
Practice Address - Phone:303-730-2083
Practice Address - Fax:303-730-6854
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO80331223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics