Katelyn Bogart, DDS
Dentist in Livonia, MI. Individual provider (NPI-1).
NPI number1376450700
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1376450700
- Entity type
- Individual (NPI-1)
- Name
- Katelyn Bogart
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 24, 2026
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
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 | 2901606031 | MI | Yes |
Practice location
38000 Ann Arbor TrlLivonia, MI 48150-2453
Phone 734-591-3636
Mailing address
220 Roehrig StTrenton, MI 48183-1252
Phone 734-756-1732
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