Dr. Larry S Wogman, DDS
Dentist in Mitchell, OR. Individual provider (NPI-1).
NPI number1043545346
StatusActive
Last updated in NPPESOct 5, 2009
Details
- NPI
- 1043545346
- Entity type
- Individual (NPI-1)
- Name
- Dr. Larry S Wogman
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 5, 2009
- Last updated
- Oct 5, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D9235 | OR | Yes |
Practice location
340 Se High St.Mitchell, OR 97750-0304
Phone 541-462-3313
Mailing address
712 Jay St.Fossil, OR 97830-0307
Phone 541-763-2725
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