Provider Demographics
NPI:1902981780
Name:HOGG, JAMES JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:JOSEPH
Last Name:HOGG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7501 LEMONT RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-2653
Mailing Address - Country:US
Mailing Address - Phone:630-218-1920
Mailing Address - Fax:815-744-7059
Practice Address - Street 1:120 OAKBROOK CTR
Practice Address - Street 2:SUITE 318
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1806
Practice Address - Country:US
Practice Address - Phone:630-218-1920
Practice Address - Fax:815-744-7059
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190191501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
1508198474OtherPRACTICE LOCATION TYPE II NPI
1295165439OtherPRACTICE LOCATION TYPE II NPI
1205145554OtherPRACTICE LOCATION TYPE II NPI
1063649770OtherGROUP NPI
1760882005OtherPRACTICE LOCATION TYPE II NPI
1053431981OtherGROUP NPI
IL1306177241OtherPRACTICE LOCATION TYPE II NPI
1295165439OtherPRACTICE LOCATION TYPE II NPI
1508198474OtherPRACTICE LOCATION TYPE II NPI