MEDICARE: DR. VAN SCOTT COGLEY D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN10466	FL

General Provider Information

NPI Number	:	1386720472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VAN SCOTT COGLEY D.D.S.

Provider Business Mailing Address
First Line	:	3 VINE AVE NE
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32548-5069
Country	:	US
Telephone Number	:	850-243-2312
Fax Number	:	850-243-7013

Provider Business Practice Location Address
First Line	:	3 VINE AVE NE
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32548-5069
Country	:	US
Telephone Number	:	850-243-2312
Fax Number	:	850-243-7013

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1134322969 — KIMBERLEY ANNE HOFF LMHC
Practice Location Address:

3 VINE AVE NE
FORT WALTON BEACH, FL
32548-5069

Practice Phone: 850-226-7666
Practice Fax: 850-226-7499

1619296555 — DR. ZACHARY CLARK BAYER PSYD
Practice Location Address:

3 VINE AVE NE
FORT WALTON BEACH, FL
32548-5069

Practice Phone: 850-226-7666
Practice Fax: 850-226-7499

1790029783 — DR. CORISSA LYNN BAYER PH.D.
Practice Location Address:

3 VINE AVE NE
FORT WALTON BEACH, FL
32548-5069

Practice Phone: 850-226-7666
Practice Fax: 850-226-7499

1720470255 — BAYER NEUROBEHAVIORAL CENTER, PLLC
Practice Location Address:

3 VINE AVE NE
FORT WALTON BEACH, FL
32548-5069

Practice Phone: 850-226-7666
Practice Fax: 850-266-7499

1467480632 — DR. WALTER LEON ADAMS D.C.
Practice Location Address:

5913 LOVELL AVE
FORT WORTH, TX
76107-5069

Practice Phone: 817-731-6921
Practice Fax: 817-763-9533

1649537861 — WALTER L ADAMS DC PC
Practice Location Address:

5913 LOVELL AVE , SUITE B
FORT WORTH, TX
76107-5069

Practice Phone: 817-731-6921
Practice Fax: 817-763-9535

Directions to “ DR. VAN SCOTT COGLEY D.D.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.