Bogardus, Brian K
Bogardus, Brian K is an individual health care provider with primary practice located at 2365 Nw Stewart Pkwy , Roseburg OR 97471-5653. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bogardus, Brian K can be contacted via phone (503) 952-2164.Contact Information
Primary practice address
2365 Nw Stewart Pkwy
Roseburg OR 97471-5653
Phone: (503) 952-2164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | D9170 | Oregon |
Profile Details
| NPI number | 1740439165 |
|---|---|
| LBN Legal business name | Bogardus, Brian K |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2008 |
| Last updated | Sep 9th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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