Provider Demographics
NPI:1447478078
Name:VOGEL, RICHARD IAN (DMD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:IAN
Last Name:VOGEL
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6790
Mailing Address - Country:US
Mailing Address - Phone:212-998-9933
Mailing Address - Fax:
Practice Address - Street 1:NYU COLLEGE OF DENTISTRY
Practice Address - Street 2:345 EAST 24TH STREET, 10TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-998-9933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0290031223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics