Brian K. Bogardus, DMD

Dentist · Roseburg, OR

Individual Active NPI

NPI number 1740439165

Practice location

2365 NW Stewart Pkwy
Roseburg, OR 97471-5653
Phone
(503) 952-2164

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NPI record

NPI
1740439165
Entity type
Individual (Type 1)
Enumeration date
September 9, 2008
Last updated
September 9, 2008
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D9170 OR

Mailing address

6950 NE Campus Way
Hillsboro, OR 97124-5611
Phone
(503) 952-2164
Fax
(503) 526-4418

About Dr. Bogardus

Brian K. Bogardus, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2365 NW Stewart Pkwy, Roseburg, OR 97471-5653. The NPI number 1740439165 was assigned on September 9, 2008 and the record was last updated on September 9, 2008.

Dr. Bogardus lists a license in the registry: #D9170 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian K. Bogardus, DMD?

The NPI number is 1740439165.

What is the phone number of Dr. Bogardus?

The phone number listed for the practice location is (503) 952-2164.

Where is Dr. Bogardus located?

2365 NW Stewart Pkwy, Roseburg, OR 97471-5653.

What is the taxonomy code for Dr. Bogardus?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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