Provider Demographics
NPI:1578731592
Name:CHOGLE, SAMI (BDS,DDS,MSD)
Entity type:Individual
Prefix:DR
First Name:SAMI
Middle Name:
Last Name:CHOGLE
Suffix:
Gender:M
Credentials:BDS,DDS,MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 ALBANY ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-3550
Mailing Address - Country:US
Mailing Address - Phone:617-922-5615
Mailing Address - Fax:
Practice Address - Street 1:290 BAKER AVE STE N110
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2191
Practice Address - Country:US
Practice Address - Phone:978-369-2110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1531223E0200X
MADN18574891223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodontics