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ADVANCED SMILES MARION KYLE D BOGAN DDS LLC NPI 1972260800


NPI Information

NPI: 1972260800
Provider Name: ADVANCED SMILES MARION, KYLE D BOGAN, DDS, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1269 DELAWARE AVE
MARION, OH
ZIP 43302
Phone: (740) 725-8080
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ADVANCED SMILES MARION, KYLE D BOGAN, DDS, LLC is a general practice dentist in Marion, OH. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ADVANCED SMILES MARION, KYLE D BOGAN, DDS, LLC NPI is 1972260800. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1269 DELAWARE AVE
MARION, OH
ZIP 43302-419
Phone: (740) 725-8080

The provider's authorized official is Kyle Bogan .
The authorized official title is Sole Member and has the following contact phone number (740) 725-8080.

The enumeration date for this NPI number is 11/28/2021 and was last updated on 11/28/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

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: 4/28/2024

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