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Contact Information

ADVANCED SMILES MARION, KYLE D BOGAN, DDS, LLC
1269 DELAWARE AVE
MARION, OH43302-6419
 Phone: 740-725-8080
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED SMILES MARION, KYLE D BOGAN, DDS, LLC

NPI Number 1972260800
LBN Legal business name ADVANCED SMILES MARION, KYLE D BOGAN, DDS, LLC
Authorized official KYLE BOGAN - (SOLE MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2021
Last updated 11/28/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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