Provider Demographics
NPI:1821216870
Name:FOGEL, BARTON
Entity Type:Individual
Prefix:DR
First Name:BARTON
Middle Name:
Last Name:FOGEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7777 UNIVERSTIY DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069
Mailing Address - Country:US
Mailing Address - Phone:513-772-4000
Mailing Address - Fax:513-777-9656
Practice Address - Street 1:7777 UNIVERSTIY DR
Practice Address - Street 2:SUITE F
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069
Practice Address - Country:US
Practice Address - Phone:513-772-4000
Practice Address - Fax:513-777-9656
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300130801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice