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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SAMANTHA R BOGLE, DMD

Active Sole Proprietor

DR. SAMANTHA R BOGLE, DMD is a Orthodontics healthcare provider located in PORT ST LUCIE, Florida. NPI 1770010043 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · PORT ST LUCIE, FL

Registration Details

NPI Number
1770010043
Provider Type
Individual
Gender
Female
NPI Issued
May 17, 2017 (9.2192798029118 yrs)
Last Updated
Jun 13, 2024
Licenses
DN1857916 (MA)
DN28672 (FL)
22DI02632900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1202 SE PORT ST LUCIE BLVD
PORT ST LUCIE, FL, 349525364
Browse FL providers · Browse ZIP 34952
Phone
7723353088
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics
Additional Specialty
Dentist

Other Orthodontics Providers in PORT ST LUCIE, FL

Name Credential NPI
DR. BRIAN BERNARD JACOBUS DDS, MS, PA 1134143340
DR. ANN L WILSON DDS 1376759613
DR. ARGHAVAN BAHRAMNEJAD DMD 1245595222
ALEXANDER ROBERT DESMAN DMD, MS 1942798574
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.