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
Fax: (732) 636-2269
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497811228 NPPES
New Jersey MEDICAID 60006691

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