Provider Demographics
NPI:1114934908
Name:VOGEL, RICK S (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:S
Last Name:VOGEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 SW 12TH ST
Mailing Address - Street 2:APT. 209
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33315-1372
Mailing Address - Country:US
Mailing Address - Phone:954-462-7100
Mailing Address - Fax:
Practice Address - Street 1:1200 SW 12TH ST
Practice Address - Street 2:APT. 209
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33315-1372
Practice Address - Country:US
Practice Address - Phone:954-462-7100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50011122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist