Individual
DR. BRADLEY J OGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1000 E BROAD STREET, COLUMBUS, OH 43205
(614) 258-3880
Mailing address
188 E COMO AVE, COLUMBUS, OH 43202
(614) 268-3560
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30015890
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0369257
—
OH
Enumeration date
12/08/2006
Last updated
12/21/2012
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