Dennis George Ogilvie, D.D.S.

Individual provider Active NPI General Practice Dentistry · Knox, IN

NPI 1649598392 · NPPES record last updated Apr 29, 2015

Key facts

NPI
1649598392
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12012220A (IN)
Practice address
1191 A South Heaton
Knox, IN 46534
Phone
(574) 772-7720
NPI assigned
May 5, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12012220AINMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12012220A IN Yes
Student in an Organized Health Care Education/Training Program 390200000X WI

Addresses

Primary practice location

1191 A South Heaton
Knox, IN 46534

Mailing address

1191 A South Heaton
Knox, IN 46534
Phone (574) 772-7720

Other providers in Knox, IN

All providers in Knox, IN · General Practice Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.