Mary Ann Bukowski, D.D.S.

General Practice Dentistry · Portage, MI

Individual Active NPI

NPI number 1013065853

Practice location

1416 W Milham Ave
Portage, MI 49024-2245
Phone
(269) 381-0564
Fax
(269) 381-4965

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NPI record

NPI
1013065853
Entity type
Individual (Type 1)
Enumeration date
January 8, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901011980 MI

About Dr. Bukowski

Mary Ann Bukowski, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1416 W Milham Ave, Portage, MI 49024-2245. The NPI number 1013065853 was assigned on January 8, 2007 and the record was last updated on July 8, 2007.

Dr. Bukowski lists a license in the registry: #2901011980 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Ann Bukowski, D.D.S.?

The NPI number is 1013065853.

What is the phone number of Dr. Bukowski?

The phone number listed for the practice location is (269) 381-0564.

Where is Dr. Bukowski located?

1416 W Milham Ave, Portage, MI 49024-2245.

What is the taxonomy code for Dr. Bukowski?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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