DR. AMY JANE BOGARDUS (NPI# 1558325878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558325878 |
| Entity Type | Individual |
| Full Name | DR. AMY JANE BOGARDUS |
| Credential | D.M.D. |
| Practice Address |
400 S 4th St Danville KY 40422-2007 |
| Practice Telephone | 8592361130 |
| Practice Fax Number | 8592399384 |
| Mailing Telephone | 8592361130 |
| Mailing Fax Number | 8592399384 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2014-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6874 | KY | Dental Providers |
| N | 174400000X | Specialist | 6874 | KY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 60068749 | 05 | |
| KY | 64026313 | 05 |
| Street Address |
400 S 4TH ST |
| City | DANVILLE |
| State | KY |
| Zip Code | 40422-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114981420 | Louis M. Beto | Dentist | 400 S 4th St, Danville, KY 40422-2007 | 2006-04-13 |
| 1417090457 | Susan H. Couzens Dmd Psc | Dentist | 400 S 4th St, Suite 101, Danville, KY 40422-2007 | 2007-02-15 |
| 1730259292 | Beto & Bogardus | Specialist | 400 S 4th St, Danville, KY 40422-2007 | 2006-11-09 |
| 1215992854 | Arthur A. Gonty | Dentist | 400 S 4th St, Danville, KY 40422-2007 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098754 | Healthstat Onsite Clinic Centre College | Preventive Medicine | 851 West Walnut St, Danville, KY 40422 | 2020-03-19 |
| 1134772288 | Austin Simpson | Physician Assistant | 217 South 3rd Street, Danville, KY 40422 | 2019-07-18 |
| 1033677695 | Shannon Holland Erwin | Counselor | 475 W Main St Suite 160, Danville, KY 40422 | 2019-03-03 |
| 1225556871 | Fallon Michelle Carnes | Counselor | 106 Belinda Blvd., Danville, KY 40422 | 2017-09-05 |
| 1780124529 | Natasha Taylor | Counselor | 461 South 4th Street, Danville, KY 40422 | 2017-02-27 |
| 1184088890 | Elizabeth Love | Counselor | 108 Saint Josephs Ct, Danville, KY 40422 | 2016-04-08 |
| 1801274550 | Jeremy Tate Johnson | Specialist/Technologist | 1637 Perryville Rd., Boyle County High School, Danville, KY 40422 | 2015-05-14 |
| 1649602228 | Susan Hale Couzens | Dentist | 435 Whirlaway Dr, Danville, KY 40422 | 2013-08-06 |
| 1265751200 | William Paul Baas | Ophthalmology | 440 W. Martin L. King Blvd., Suite 100, Danville, KY 40422 | 2010-05-28 |
| 1780823666 | Karen Totsuka IIi | Speech-Language Pathologist | 642 Nth 3rd St, Danville, KY 40422 | 2009-02-17 |
| Find all providers in zip 40422 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366058604 | Sherwood Oral Surgery | Dentist | 174b Executive Dr, Danville, VA 24541-4100 | 2020-09-22 |
| 1124482237 | Colin Sherwood | Dentist | 174 Executive Dr Ste B, Danville, VA 24541-4100 | 2016-04-06 |
| 1285761411 | Kian Farzaneh D.d.s., Inc | Dentist | 903 San Ramon Valley Blvd Ste 126, Danville, CA 94526-4049 | 2007-02-27 |
| 1982621942 | Kian Farzaneh | Dentist | 801 San Ramon Valley Blvd Ste A, Danville, CA 94526-4027 | 2006-07-16 |
| 1114981420 | Louis M. Beto | Dentist | 400 S 4th St, Danville, KY 40422-2007 | 2006-04-13 |
| 1528222080 | Justin J Au | Dentist | 100 N Academy Ave, Danville, PA 17822-9800 | 2008-07-14 |
| 1376704452 | Edmund Ying-peng Wun | Dentist | 100 N Academy Ave, Danville, PA 17822-7104 | 2008-06-20 |
| 1215992854 | Arthur A. Gonty | Dentist | 400 S 4th St, Danville, KY 40422-2007 | 2006-04-18 |
| 1770569691 | Willard William Wentz Jr. | Dentist | 501 Rison St, Stratford Medical Plaza, Danville, VA 24541-2458 | 2005-12-22 |
| 1265418198 | Herbert C Manry | Dentist | 501 Rison St, Stratford Medical Plaza, Danville, VA 24541-2458 | 2005-12-22 |
| Find all providers in DANVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.