Kogan, Paul
Kogan, Paul is an individual health care provider with primary practice located at 702 E Bell Rd Suite 111, Phoenix AZ 85022-6639. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Kogan, Paul can be contacted via phone (602) 404-3800.Contact Information
Primary practice address
702 E Bell Rd Suite 111
Phoenix AZ 85022-6639
Phone: (602) 404-3800
Fax: (602) 404-8757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | D6524 | Arizona |
Profile Details
| NPI number | 1174598916 |
|---|---|
| LBN Legal business name | Kogan, Paul |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Nov 7th, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174598916 | NPPES |
| Arizona | MEDICAID | 961046 |
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