Provider Demographics
NPI:1649836065
Name:SVEN HOGE, DMD, PLLC
Entity type:Organization
Organization Name:SVEN HOGE, DMD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:801-505-2261
Mailing Address - Street 1:1908 26TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58703-9006
Mailing Address - Country:US
Mailing Address - Phone:801-505-2261
Mailing Address - Fax:
Practice Address - Street 1:501 S WASHBURN ST
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-1637
Practice Address - Country:US
Practice Address - Phone:940-627-2514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental