Organization
ROBERT BOGARD DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT H BOGARD DDS (GENERAL DENTISTRY)
(207) 439-2310
Entity
Organization
Contact information
Practice address
23 WALKER ST, KITTERY, ME 03904-1728
(207) 439-2310
(207) 439-4172
Mailing address
23 WALKER ST, KITTERY, ME 03904-1728
(207) 439-2310
(207) 439-4172
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2620
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558447623
GENERAL PRACTICE
ME
Enumeration date
05/14/2007
Last updated
08/22/2020
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