Robert Bogard DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2620 Issued in WV

Legal business name

ROBERT BOGARD DDS

Practice address

23 Walker St
Kittery, ME 03904-1728

Phone

(207) 439-2310

Fax

(207) 439-4172

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert H Bogard, DDSNPI 1558447623

Title

General Dentistry

Phone

(207) 439-2310

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert H Bogard, DDS

  • General Practice Dentistry
  • Kittery, ME
  • NPI 1558447623
  NPD (past) Authorized official
• Alexis Marthajane Hallissey, D.M.D.

  • General Practice Dentistry
  • Summerville, SC
  • NPI 1770894149
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568677474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WALKER ST",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041728",
            "telephone_number": "207-439-2310",
            "fax_number": "207-439-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WALKER ST",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041728",
            "telephone_number": "207-439-2310",
            "fax_number": "207-439-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BOGARD DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "GENERAL DENTISTRY",
        "authorized_official_telephone_number": "207-439-2310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL PRACTICE",
            "identifier": "1558447623",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren A Quinn, RDH
• Haley E Ramus, DPT, ATC
• Brett S Rankin, MD
• Jennifer M Regan, NP
• Alexis Rigazio, OTR/L
• John Hurlin Robinson, M.D.
• Allyson M Roose, RN
• Haley Roy
• Kimberley A Russell, NP
• Jeffrey Ian Saltz, DDS

• General Practice Dentistry in Kittery, ME
• Providers in Kittery, ME by specialty
• General Practice Dentistry in Maine

• 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.