Provider Demographics
NPI:1386056562
Name:LINDSEY A. VOGL, DDS, PLC
Entity type:Organization
Organization Name:LINDSEY A. VOGL, DDS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:VOGL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:989-666-4239
Mailing Address - Street 1:6739 FULTON ST E
Mailing Address - Street 2:SUITE D-20
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-8138
Mailing Address - Country:US
Mailing Address - Phone:616-676-1800
Mailing Address - Fax:616-676-1801
Practice Address - Street 1:6739 FULTON ST E
Practice Address - Street 2:SUITE D-20
Practice Address - City:ADA
Practice Address - State:MI
Practice Address - Zip Code:49301-8138
Practice Address - Country:US
Practice Address - Phone:616-676-1800
Practice Address - Fax:616-676-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010203401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty