Karen Joan Gougeon, DDS
Individual provider Active NPI Dentist · Auburn, MI
NPI 1275648263 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1275648263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2901017069 (MI)
- Practice address
- 702 W Midland Rd
Auburn, MI 48611-0016 - Phone
- (989) 662-6061
- Fax
- (989) 662-2676
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karl M Hogue DDS | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2901017069 | MI | Yes |
Addresses
Primary practice location
702 W Midland Rd
Auburn, MI 48611-0016
Mailing address
PO Box 16
Auburn, MI 48611-0016
Phone (989) 662-6061
Other providers in Auburn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.