Douglas Bogart DMD, PA

Primary specialty

DentistTaxonomy code 122300000X

License

10453 Issued in FL

Legal business name

DOUGLAS BOGART DMD, PA

Practice address

3581 E Gulf to Lake Hwy
Inverness, FL 34453-3210

Phone

(352) 344-9500

Fax

(352) 344-4398

NPI assigned

Sep 6, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Douglas Bogart, DNDNPI 1144244187

Title

Owner

Phone

(352) 344-9500

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Bogart, DMD

  • General Practice Dentistry
  • Inverness, FL
  • NPI 1144244187
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1386079549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3581 E GULF TO LAKE HWY",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533210",
            "telephone_number": "352-344-9500",
            "fax_number": "352-344-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 E GULF TO LAKE HWY",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533210",
            "telephone_number": "352-344-9500",
            "fax_number": "352-344-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS BOGART DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "BOGART",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-344-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DND"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "10453",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Yvonne Dolby, RN
• Donald E Fedor Ms,LMHC
• Ariane Eidam Donate, APRN
• Samora Sama Dorismond, MD
• Double Spring Anesthesia Providers LLC
• Dowling Transportation LLC
• Ronnye Marsha Drexler, IMHC
• Virginia Driemel
• Melanie L Dryden, ARNP-C
• Marija Maya Dujanovic, PA-C

• Dentist in Inverness, FL
• Providers in Inverness, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.