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Contact Information

LOUIS E BOGARD, DDS
10825 OLD HWY 64
BOLIVAR, TN38008
 Phone: 731-658-5291
 Fax: 731-658-6536
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for LOUIS E BOGARD · (Male)

NPI Number 1225174287
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/29/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • TN License # DS0000006956
  • TN Medicaid S440640
  • Other 9179020 DORAL DENTAL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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