Bogdan Robert Busan, DDS

Dentist · Rockford, IL

Individual Active NPI

NPI number 1285951004

Practice location

4035 Morsay Dr Ste 1
Rockford, IL 61107-4875
Phone
(815) 398-1376

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NPI record

NPI
1285951004
Entity type
Individual (Type 1)
Enumeration date
May 3, 2010
Last updated
April 30, 2024
Certified
April 30, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019028190 IL
Periodontics 1223P0300X 021002454 IL

About Dr. Busan

Bogdan Robert Busan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4035 Morsay Dr Ste 1, Rockford, IL 61107-4875. The NPI number 1285951004 was assigned on May 3, 2010 and the record was last updated on April 30, 2024.

Dr. Busan lists 2 licenses in the registry: #019028190 (IL) for Dentist; #021002454 (IL) for Periodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bogdan Robert Busan, DDS?

The NPI number is 1285951004.

What is the phone number of Dr. Busan?

The phone number listed for the practice location is (815) 398-1376.

Where is Dr. Busan located?

4035 Morsay Dr Ste 1, Rockford, IL 61107-4875.

What is the taxonomy code for Dr. Busan?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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