Dr. Kevin Samuel Rohan Ogle, DMD
Dentist, General Practice in Orange City, FL. Individual provider (NPI-1).
NPI number1164089629
StatusActive
Last updated in NPPESSep 27, 2021
Details
- NPI
- 1164089629
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Samuel Rohan Ogle
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 21, 2019
- Certification date
- Sep 27, 2021
- Last updated
- Sep 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DN25529 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | 10253 | KY |
Practice location
2777 Enterprise RdOrange City, FL 32763-8310
Phone 386-481-6886
Mailing address
2777 Enterprise RdOrange City, FL 32763-8310
Phone 386-481-6886
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All 21 General Practice Dentistry providers in Orange City · All 1,211 providers in Orange City
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