MEDICARE: RICHARD MICHAEL VOGET DDS

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	4270	WA

General Provider Information

NPI Number	:	1609878719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD MICHAEL VOGET DDS

Provider Business Mailing Address
First Line	:	509 OLIVE WAY
Second Line	:	STE 1238
City	:	SEATTLE
State	:	WA
Zip	:	98101-1745
Country	:	US
Telephone Number	:	206-623-7591
Fax Number	:	206-292-9347

Provider Business Practice Location Address
First Line	:	509 OLIVE WAY
Second Line	:	STE 1238
City	:	SEATTLE
State	:	WA
Zip	:	98101-1745
Country	:	US
Telephone Number	:	206-623-7591
Fax Number	:	206-292-9347

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/08/2007

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