P Praxis·MD
● Active Type 1 · Individual

DR. Grant Michael Hogan, D.D.S., M.D.

Dentist·Suwanee, GA· NPI 1689765547 · Enumerated 2006 · 19 years on NPI
Hogan is 1 of 9 dentist providers in Suwanee and 1 of 358 in Georgia.
NPI age
19 years
Enumerated 2006-09-27
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-08-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 358 active dentist providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
1380 Peachtree Industrial Blvd, Suite 100
Suwanee, GA 300243769
📞 7702321191fax 7702322733
Mailing address
1380 Peachtree Industrial Blvd, Suite 100
Suwanee, GA 300243769
📞 7702321191fax 7702322733

Specialties

  • Dentist Primary
    The specialty of dentistry which includes 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.
    GA license #057479 taxonomy 1223S0112X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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