Provider Demographics
NPI:1013133537
Name:STEVEN K HOAGLAND DDS INC
Entity Type:Organization
Organization Name:STEVEN K HOAGLAND DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:HOAGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-847-1775
Mailing Address - Street 1:77 S LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8300
Mailing Address - Country:US
Mailing Address - Phone:614-847-1775
Mailing Address - Fax:614-847-1775
Practice Address - Street 1:77 S LIBERTY ST
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-8300
Practice Address - Country:US
Practice Address - Phone:614-847-1775
Practice Address - Fax:614-847-1775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2383611Medicaid