# KENNETH A. MOGELL, DMD, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florida Dental Sleep Disorders
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215536081
- **Authorized official:** ANNETTE MOGELL (OFFICE MGR)
- **Authorized official phone:** (561) 353-5252

## Contact information

- **Practice address:** 787 37TH ST STE E180, VERO BEACH, FL 32960-7318
- **Practice address phone:** (772) 882-6800
- **Practice address fax:** (561) 988-1102
- **Mailing address:** 2900 N MILITARY TRL STE 212, BOCA RATON, FL 33431-6308
- **Mailing address phone:** (561) 353-5252
- **Mailing address fax:** (561) 988-1102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2020
- **Last updated:** 10/18/2021