Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK R BOGNAR, DDS
ActiveMR. MARK R BOGNAR, DDS is a Dentist healthcare provider located in WATERSMEET, Michigan. NPI 1952319832 is currently active in the NPPES registry. Verify at CMS.
Dentist · WATERSMEET, MI
Registration Details
- NPI Number
- 1952319832
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 4, 2006 (20.043799444743 yrs)
- Last Updated
- Mar 9, 2009
- Licenses
-
3856015 (WI)2901019957 (MI)
Practice Information
- Address
-
E 23970 POW WOW TRAIL RDLAC VIEUX DESERT HEALTH CENTERWATERSMEET, MI, 499690249Browse MI providers · Browse ZIP 49969
- Phone
- 9063584587
- Fax
- 9063584118
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
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.