DR. GRANT MICHAEL HOGAN D.D.S. M.D. NPI 1689765547

NPI Information

  • NPI: 1689765547
  • Provider Name: DR. GRANT MICHAEL HOGAN, D.D.S., M.D.
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1380 PEACHTREE INDUSTRIAL BLVD
    SUITE 100
    SUWANEE, GA
    ZIP 30024
  • Phone: (770) 232-1191

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NPI Details

DR. Grant Michael Hogan, D.D.S., M.D. is an oral and maxillofacial surgery dentist in Suwanee, GA with 26 years of experience. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Grant Michael Hogan, D.D.S., M.D. NPI is 1689765547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year:2000

The provider's business location address is:

1380 PEACHTREE INDUSTRIAL BLVD
SUITE 100
SUWANEE, GA
ZIP 30024-769
Phone: (770) 232-1191
Fax: (770) 232-2733

The NPI 1689765547 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 8/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery057479GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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