Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396086575 Individual Practitioner Male Practitioner

Dr. Kanwar Singh Bhogal , DDS

Dentist - General Practice • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. Kanwar Bhogal, DDS is a registered healthcare professional specializing in Dentist - General Practice in Phoenix, AZ. Practice services are available at 9015 N 3RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9015 N 3rd St

Phoenix, AZ 850202444

Telephone 4808824545
Fax 6027143755
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.2 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
483 Specialists

Practicing in Phoenix, AZ (2600 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AZ D008658

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License AZ D8658

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
911243 (AZ)

Secondary Practice Locations

4159 W Thunderbird Rd

Phoenix, AZ 850535341

Phone: 6028438866

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Thomas Knutson , MD

Psychiatry & Neurology - Psychiatry

NPI 1003109745

Doctor of Medicine (M.D.)

Bethany Killian

Counselor - Professional

NPI 1003567660
Nanette Klaus , LPC

Counselor - Mental Health

NPI 1003682303

Licensed Professional Counselor

Dr. Veronica Pace , MD

Family Medicine

NPI 1013599844

Doctor of Medicine (M.D.)

Annie Custer , LCSW

Social Worker - Clinical

NPI 1013626944

Licensed Clinical Social Worker

Cassidy Brooking-Lang , LCSW

Social Worker - Clinical

NPI 1033512249

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 17, 2023

Registered at 9015 N 3RD ST, PHOENIX, AZ 850202444 (Tel: 4808824545)

📍
Updated Business Mailing Address November 17, 2023

Registered at 7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 850204668 (Tel: 4808824545)

NPI Profile Active May 14, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2014

Registered at 4159 W THUNDERBIRD RD, PHOENIX, AZ 850535341 (Tel: 6028438866)

📍
Updated Business Mailing Address May 14, 2014

Registered at 4159 W THUNDERBIRD RD, PHOENIX, AZ 850535341 (Tel: 6028438866)

👤
Provider Name / Credentials Updated May 14, 2014

Recorded as KANWAR BHOGAL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2014

Dentist (License #D8658 in AZ)

🟢
Initial NPI Registration & Enumeration March 12, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396086575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 12, 2013
Last Update: November 17, 2023
Sole Proprietor: Yes

Mailing Address

7500 N Dreamy Draw Dr Ste 145

Phoenix, AZ 850204668

Phone: 4808824545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.