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DR. JESSICA LEIGH BOGUCKI DMD
NPI 1083977672
Dentist in New Haven, CT

Active since June 19, 2012PECOS Enrolled
921 STATE ST, NEW HAVEN, CT 06511(203) 865-2245 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jessica Leigh Bogucki Dmd NPPES

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

DR. JESSICA LEIGH BOGUCKI DMD (NPI 1083977672) is an individual dentist in New Haven, Connecticut, licensed in Connecticut (010957) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083977672
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JESSICA LEIGH BOGUCKICredential: DMD
Location Address921 STATE STNew Haven, CT 06511-3926
Mailing Address830 Chalkstone AveProvidence, RI 02908-4734 · (860) 391-2445
Phone(203) 865-2245
Sole ProprietorNo
Enumeration DateJune 19, 2012
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1083977672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CT · 010957
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
921 STATE ST, New Haven, CT 06511
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Leigh Bogucki Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

DR. MICHAEL J WIENER DDS
Dentist (Periodontics)
921 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 865-2245
LEVY DENTAL GROUP, P.C.
Dentist (Prosthodontics)
921 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 865-2245
MARY KATHLEEN CONBOY DMD
Dentist
921 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 865-2245
JENNIFER Y. YOU, DMD, LLC
Dentist
921 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 865-2245
DR. ALANNA S CHI D.M.D
Dentist
921 STATE ST, LEVY DENTAL GROUP
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 865-2245
DR. JEREMIAH LONG DMD
Dentist
921 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 858-8292
RACHEL ANNE JENSEN
Dentist
921 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 865-2245
TAM H LE DMD
Dentist
921 STATE ST
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 865-2245

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 Jessica Bogucki's NPI number?

The NPI number for Jessica Bogucki is 1083977672. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Jessica Bogucki located?

Jessica Bogucki practices at 921 State St, New Haven, CT 06511. The listed phone number is (203) 865-2245.

What is Jessica Bogucki's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jessica Bogucki enrolled in Medicare?

Yes. Jessica Bogucki is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Bogucki was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.