Gerard E Bogucki DMS PC

General Practice Dentistry · Collinsville, CT

Organization Active NPI

NPI number 1063527786

Practice location

66 Maple Avenue
Collinsville, CT 06019
Phone
(860) 693-8314
Fax
(860) 693-4426

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NPI record

NPI
1063527786
Entity type
Organization (Type 2)
Enumeration date
August 20, 2006
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 5072 CT

Authorized official

Name
Dr. Gerard Edward-Zackary Bogucki, DMD
Title
President
Phone
(860) 693-8314

About Gerard E Bogucki DMS PC

Gerard E Bogucki DMS PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 66 Maple Avenue, Collinsville, CT 06019. The NPI number 1063527786 was assigned on August 20, 2006 and the record was last updated on August 22, 2020.

Gerard E Bogucki DMS PC lists a license in the registry: #5072 (CT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Gerard Edward-Zackary Bogucki, DMD, President.

Frequently asked questions

What is the NPI number of Gerard E Bogucki DMS PC?

The NPI number is 1063527786.

What is the phone number of Gerard E Bogucki DMS PC?

The phone number listed for the practice location is (860) 693-8314.

Where is Gerard E Bogucki DMS PC located?

66 Maple Avenue, Collinsville, CT 06019.

What is the taxonomy code for Gerard E Bogucki DMS PC?

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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