Advanced Smiles Marion, Kyle D Bogan, DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ADVANCED SMILES MARION, KYLE D BOGAN, DDS, LLC

Doing business as

Advanced Smiles Marion

Practice address

1269 Delaware Ave
Marion, OH 43302-6419

Phone

(740) 725-8080

NPI assigned

Nov 28, 2021

Last updated

Nov 28, 2021By 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. Kyle Bogan, DDSNPI 1568624245

Title

Sole Member

Phone

(740) 725-8080

Specialties & licenses 1

Addresses

Other names 1

• Advanced Smiles Marion Doing business as

Locations

Practitioners 1

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.

• Kyle D Bogan, DDS

  • General Practice Dentistry
  • Delaware, OH
  • NPI 1568624245
  NPD Authorized official

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

{
    "created_epoch": "1638057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638057600000",
    "number": "1972260800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 GOODING BLVD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430157086",
            "telephone_number": "740-725-8080",
            "fax_number": "740-548-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 DELAWARE AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026419",
            "telephone_number": "740-725-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SMILES MARION, KYLE D BOGAN, DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-28",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A",
        "authorized_official_last_name": "BOGAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "740-725-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Smiles Marion",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Accuradiology, Inc.
• Michele A Adams, LISW-S
• Jennifer Adkins
• Kevin Michael Adkins
• Sabrina Adkins
• Nosayaba Agidigbi, MD
• Dustin M. Agner
• Kristin Aguado, NP-C
• Mushtaq Ahmad, MD
• Anas Gamal Ahmed, MD

• General Practice Dentistry in Marion, OH
• Providers in Marion, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.