THOMAS SAMUEL BOGUSKY D.D.S. - NPI 1669533899

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Thomas Samuel Bogusky D.d.s. NPPES

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

THOMAS SAMUEL BOGUSKY D.D.S. (NPI 1669533899) is an individual general practice provider in Saint Peters, Missouri, licensed in Missouri (11038) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1669533899

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameTHOMAS SAMUEL BOGUSKYCredential: D.D.S.

Location Address4125 MEXICO RDSaint Peters, MO 63376-6410

Mailing Address4125 Mexico RdSaint Peters, MO 63376-6410 · (636) 447-4080 · Fax (636) 447-5764

Phone(636) 447-4080

Fax(636) 447-5764

Sole ProprietorYes

Enumeration DateDecember 12, 2006

Last NPPES UpdateNovember 11, 2007

✔ NPI 1669533899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 11038

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.

4125 MEXICO RD, Saint Peters, MO 63376

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