Alan G Boggie DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

License

3688 Issued in SC

Legal business name

ALAN G BOGGIE DMD LLC

Practice address

233 E Blackstock Rd
Ste a
Spartanburg, SC 29301-2652

Phone

(864) 574-0718

Fax

(864) 574-6248

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alan Graham Boggie, DMD

Title

Managing Member

Phone

(864) 574-0718

Specialties & licenses 1

Addresses

Other names 1

• Alan G Boggic DMD LLC Doing business as

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386863066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E BLACKSTOCK RD",
            "address_2": "STE A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012652",
            "telephone_number": "864-574-0718",
            "fax_number": "864-574-6248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E BLACKSTOCK RD",
            "address_2": "STE A",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293012652",
            "telephone_number": "864-574-0718",
            "fax_number": "864-574-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN G BOGGIE DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGGIE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "864-574-0718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alan G Boggic DMD LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Spartanburg, SC
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.