Provider Demographics
NPI:1023131810
Name:BOGART, STEVEN F (DDS)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:F
Last Name:BOGART
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 1:57 ROUTE 46
Mailing Address - Street 2:SUITE 207
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840
Mailing Address - Country:US
Mailing Address - Phone:908-852-3100
Mailing Address - Fax:908-852-6418
Practice Address - Street 1:57 ROUTE 46
Practice Address - Street 2:SUITE 207
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840
Practice Address - Country:US
Practice Address - Phone:908-852-3100
Practice Address - Fax:908-852-6418
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI017127001223S0112X
NY0405011223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery