IndividualActive
Larry Wogman, DDS
NPI 1043545346 · Dentist · Mitchell, OR
Provider details
- NPI number
- 1043545346
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- D9235 (OR)
Specialties & taxonomies
Dental Providers
Practice location
340 Se High St.
Mitchell, OR 97750-0304
Phone: (541) 462-3313
Approximate (ZIP-level) locationGet directions
Mailing address
712 Jay St.
Fossil, OR 97830-0307
Registry dates
- Enumerated
- 2009-10-05
- Last updated
- 2009-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.