DR. MARY ANN BUKOWSKI D.D.S.
NPI 1013065853
Dentist - General Practice in Portage, MI

Q: What is Mary Bukowski's NPI number?

The NPI number for Mary Bukowski is 1013065853. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Mary Bukowski's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bukowski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 08, 2007

1416 W MILHAM AVE, PORTAGE, MI 49024(269) 381-0564(269) 381-4965 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mary Ann Bukowski D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ANN BUKOWSKI D.D.S. (NPI 1013065853) is an individual general practice provider in Portage, Michigan, licensed in Michigan (2901011980) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1013065853

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MARY ANN BUKOWSKICredential: D.D.S.

Location Address1416 W MILHAM AVEPortage, MI 49024-2245

Mailing Address1416 W Milham AvePortage, MI 49024-2245 · (269) 381-0564 · Fax (269) 381-4965

Phone(269) 381-0564

Fax(269) 381-4965

Sole ProprietorYes

Enumeration DateJanuary 8, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1013065853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 2901011980

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1416 W MILHAM AVE, Portage, MI 49024

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MITCHELL AARON COHN D.O.

General Practice

1416 W MILHAM AVE
PORTAGE, MI 49024

Kalamazoo County (269) 290-7700

WEST MILHAM DENTAL PROFESSIONALS PLLC

Clinic/Center (Dental)

1416 W MILHAM AVE
PORTAGE, MI 49024

Kalamazoo County (269) 381-0564

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Bukowski's NPI number?

The NPI number for Mary Bukowski is 1013065853. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Mary Bukowski located?

Mary Bukowski practices at 1416 W Milham Ave, Portage, MI 49024. The listed phone number is (269) 381-0564.

What is Mary Bukowski's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mary Bukowski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.