Provider Demographics
NPI:1366701351
Name:JOHN H VOGEL & EUGENE E MATESI
Entity type:Organization
Organization Name:JOHN H VOGEL & EUGENE E MATESI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-279-2386
Mailing Address - Street 1:1544 W OSBORN RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-5847
Mailing Address - Country:US
Mailing Address - Phone:602-279-2386
Mailing Address - Fax:602-277-8224
Practice Address - Street 1:1544 W OSBORN RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-5847
Practice Address - Country:US
Practice Address - Phone:602-279-2386
Practice Address - Fax:602-277-8224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-10
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty