DR. KENNETH WAYNE BOURGEOIS DDS
NPI 1255561320
Dentist - General Practice in Tamuning, GU

Q: What is Kenneth Bourgeois's NPI number?

The NPI number for Kenneth Bourgeois is 1255561320. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Q: What is Kenneth Bourgeois'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 Kenneth Bourgeois was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 July 22, 2009

226 CHALAN SAN ANTONIO STE C, TAMUNING, GU 96913(671) 646-2010(671) 646-2070 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Kenneth Wayne Bourgeois Dds NPPES

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

DR. KENNETH WAYNE BOURGEOIS DDS (NPI 1255561320) is an individual general practice provider in Tamuning, Guam, licensed in Guam (D927) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1255561320

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. KENNETH WAYNE BOURGEOISCredential: DDS

Location Address226 CHALAN SAN ANTONIO STE CTamuning, GU 96913-3525

Mailing Address226 Chalan San Antonio Ste CTamuning, GU 96913-3525 · (671) 646-2010 · Fax (671) 646-2070

Phone(671) 646-2010

Fax(671) 646-2070

Sole ProprietorYes

Enumeration DateJuly 22, 2009

✔ NPI 1255561320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in GU · D927✔ Licensed in TX · 14605

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.

226 CHALAN SAN ANTONIO STE C, Tamuning, GU 96913

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Other Providers at the Same Location NPPES

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

REACHING OUT MINISTRIES

Clinic/Center (Dental)

226 CHALAN SAN ANTONIO STE C, AMPARO'S BUSINESS CENTER
TAMUNING, GU 96913

Guam (671) 646-2010

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 Kenneth Bourgeois's NPI number?

The NPI number for Kenneth Bourgeois is 1255561320. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Kenneth Bourgeois located?

Kenneth Bourgeois practices at 226 Chalan San Antonio Ste C, Tamuning, GU 96913. The listed phone number is (671) 646-2010.

What is Kenneth Bourgeois'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 Kenneth Bourgeois was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.