Provider Demographics
NPI:1932247517
Name:HOGENDOBLER, JAMES MATTHEW (BS, DMD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MATTHEW
Last Name:HOGENDOBLER
Suffix:
Gender:M
Credentials:BS, DMD
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Mailing Address - Street 1:2209 N LAKESIDE DR
Mailing Address - Street 2:EASTWOOD MANOR HOUSE
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-2017
Mailing Address - Country:US
Mailing Address - Phone:757-481-1144
Mailing Address - Fax:757-481-1105
Practice Address - Street 1:1729 WILDWOOD DR STE 104
Practice Address - Street 2:LINKHORN POINT PROFESSIONAL CENTER
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3176
Practice Address - Country:US
Practice Address - Phone:757-481-5454
Practice Address - Fax:757-481-9236
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA04010071151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice