Individual provider · Type 1 NPI

Samantha R. Bogle, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Port St. Lucie, FL

NPI number 1770010043 Active

Practice location

1202 SE Port St Lucie Blvd
Port St. Lucie, FL 34952-5364

Call (772) 335-3088 Map

Mailing address

1043 Bay Colony Dr S
Juno Beach, FL 33408-2103

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XDN1857916 (MA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XDN28672 (FL)
Dentist 122300000X22DI02632900 (NJ)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1770010043

Samantha R. Bogle, DMD's National Provider Identifier is 1770010043, issued on May 17, 2017. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Port St. Lucie, FL. The record was last updated on Jun 13, 2024.