Pogoda, John
Pogoda, John is an individual health care provider with primary practice located at 850 Woodbridge Center Drive , Woodbridge NJ 07095. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Public Health. Dental Providers / Dentist is his primary health care specialty. Pogoda, John can be contacted via phone (732) 636-3220.Contact Information
Primary practice address
850 Woodbridge Center Drive
Woodbridge NJ 07095
Phone: (732) 636-3220
Fax: (732) 636-2269
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 22DI01438200 | New Jersey |
Dental Providers / Dental Public Health | 1223D0001X | 22DI01438200 | New Jersey |
Profile Details
NPI number | 1497811228 |
---|---|
LBN Legal business name | Pogoda, John |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 28th, 2006 |
Last updated | Feb 25th, 2012 - about 13 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 | 1497811228 | NPPES |
New Jersey | MEDICAID | 60006691 |
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