Provider Demographics
NPI:1154700565
Name:HOGE, SVEN PEDER (DMD)
Entity type:Individual
Prefix:
First Name:SVEN
Middle Name:PEDER
Last Name:HOGE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 S WASHBURN ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-1637
Mailing Address - Country:US
Mailing Address - Phone:940-627-2514
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:940-627-1558
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX349541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice