Provider Demographics
NPI:1588861561
Name:JOHN W DOVGN DDS PC
Entity type:Organization
Organization Name:JOHN W DOVGN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:DOVGAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-867-1899
Mailing Address - Street 1:3841 E THUNDERBIRD RD
Mailing Address - Street 2:#101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-5719
Mailing Address - Country:US
Mailing Address - Phone:602-867-1899
Mailing Address - Fax:602-867-1888
Practice Address - Street 1:3841 E THUNDERBIRD RD
Practice Address - Street 2:#101
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-5719
Practice Address - Country:US
Practice Address - Phone:602-867-1899
Practice Address - Fax:602-867-1888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD4018122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty