Provider Demographics
NPI:1104905215
Name:VOGLER, JAMES CONRAD (DDS PC)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:CONRAD
Last Name:VOGLER
Suffix:
Gender:M
Credentials:DDS PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 ELIZABETH STREET
Mailing Address - Street 2:
Mailing Address - City:DANSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14437
Mailing Address - Country:US
Mailing Address - Phone:585-335-2120
Mailing Address - Fax:585-335-9278
Practice Address - Street 1:64 ELIZABETH STREET
Practice Address - Street 2:
Practice Address - City:DANSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14437
Practice Address - Country:US
Practice Address - Phone:585-335-2120
Practice Address - Fax:585-335-9278
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0442401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice