Ryan Drew Bogard, DDS
Periodontics · Gurnee, IL
Practice location
310 Tri State Pkwy Ste 100Gurnee, IL 60031-5282
- Phone
- (314) 583-3104
NPI record
- NPI
- 1740925304
- Entity type
- Individual (Type 1)
- Enumeration date
- April 28, 2022
- Last updated
- April 28, 2022
- Certified
- April 28, 2022
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Periodontics Primary | 1223P0300X |
019.033452 | IL |
Mailing address
1233 Blackthorn LnDeerfield, IL 60015-3103
- Phone
- (314) 583-3104
About Dr. Bogard
Ryan Drew Bogard, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Periodontics (code 1223P0300X). The practice location is 310 Tri State Pkwy Ste 100, Gurnee, IL 60031-5282. The NPI number 1740925304 was assigned on April 28, 2022 and the record was last updated on April 28, 2022.
Dr. Bogard lists a license in the registry: #019.033452 (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 Ryan Drew Bogard, DDS?
The NPI number is 1740925304.
What is the phone number of Dr. Bogard?
The phone number listed for the practice location is (314) 583-3104.
Where is Dr. Bogard located?
310 Tri State Pkwy Ste 100, Gurnee, IL 60031-5282.
What is the taxonomy code for Dr. Bogard?
The primary taxonomy code is 1223P0300X – Periodontics.
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.
Other Periodontics providers in Gurnee
- John C. Anderson135 N Greenleaf St
- Timothy V. Erdle, D.M.D.310 Tri State Pkwy Ste 100