Bogle, Samantha R

Bogle, Samantha R is an sole proprietor health care provider with primary practice located at 1202 Se Port St Lucie Blvd , Port St Lucie FL 34952-5364. She recently has 2 registered licenses in different health care specialties including Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dentist. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Bogle, Samantha R can be contacted via phone (772) 335-3088.

Contact Information

Primary practice address
1202 Se Port St Lucie Blvd Port St Lucie FL 34952-5364
Phone: (772) 335-3088
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN1857916 Massachusetts
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DN28672 Florida
Dental Providers / Dentist 122300000X 22DI02632900 New Jersey

Profile Details

NPI number 1770010043
LBN Legal business name Bogle, Samantha R
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2017
Last updated Jun 13th, 2024 - about 5 months 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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