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General NPI Number Information
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NPI Number | 1841156775
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Entity Type | Organization
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Legal Business Name | MATTHEW W. VOGEL, DMD, LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1201 SE 223RD AVE STE 140
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City | GRESHAM
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State | OR
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Zip | 97030-2576
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Country | US
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Telephone | 503-665-8116
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 SE 223RD AVE STE 140
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City | GRESHAM
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State | OR
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Zip | 97030-2576
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER OF CREDENTIALING
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Name | CHRISTY DUPIN
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Credential |
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Telephone | 480-674-4151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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