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Individual

DR. JASON RONALD VOGT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
614 E CLARK BLVD, MURFREESBORO, TN 37130-2121
(615) 890-0885
Mailing address
411B RIDGEWOOD RD, FRANKLIN, TN 37064-5235
(615) 599-0007

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
6421
NE
1223P0221X
Pediatric Dentistry
Primary
8622
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
470789985-13
NE
Enumeration date
10/11/2006
Last updated
09/17/2024
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