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Dr. Amanda Bogue, DMD
General Practice Dentistry in Longmont, Colorado
NPI 1174209415

Amanda Bogue is a General Practice Dentistry based in Westminster, CO and is specialized in General Practice. Amanda Bogue practices in Longmont, CO and has the professional credentials of DMD. The NPI Number for Amanda Bogue is 1174209415 and holds a License No. 2951000924 (Colorado).

The current practice location address for Amanda Bogue is 1234 S Hover St Ste 100, Longmont, CO and can be reached out via phone at 720-907-8770.

Location: 1234 S Hover St Ste 100, Longmont, CO, 80234-2667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174209415
Provider Name
Amanda Bogue
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1234 S Hover St Ste 100, Longmont, CO, 80234-2667
Phone Number
720-907-8770
Fax Number
Provider Enumeration Date
06/22/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1234 S Hover St Ste 100
City
Longmont
State
Colorado
Zip
80501-7962
Phone Number
720-907-8770
Fax Number
person
Provider Business Mailing Address Details
Address
1234 S Hover St Ste 100
City
Longmont
State
Colorado
Zip
80501-7962
Phone Number
720-907-8770
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DEN.00205859 (Colorado)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2951000924 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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