Provider Demographics
NPI:1891881371
Name:VOGL, JOHN PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:PATRICK
Last Name:VOGL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:13603 BARRETT OFFICE DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MANCHESTER
Mailing Address - State:MO
Mailing Address - Zip Code:63021-7828
Mailing Address - Country:US
Mailing Address - Phone:314-965-5626
Mailing Address - Fax:314-965-2207
Practice Address - Street 1:13603 BARRETT OFFICE DR
Practice Address - Street 2:SUITE 103
Practice Address - City:MANCHESTER
Practice Address - State:MO
Practice Address - Zip Code:63021-7828
Practice Address - Country:US
Practice Address - Phone:314-965-5626
Practice Address - Fax:314-965-2207
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO13595122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist