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MR. LEE R BOMGAARS DDS
NPI 1710045489
Dentist - Pediatric Dentistry in Waukegan, IL

Active since December 05, 2006
2634 GRAND AVE, #106, WAUKEGAN, IL 60085(847) 662-7588(847) 662-3843 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Lee R Bomgaars Dds NPPES

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

MR. LEE R BOMGAARS DDS (NPI 1710045489) is an individual pediatric dentistry provider in Waukegan, Illinois, licensed in Illinois (21000637) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1710045489
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameMR. LEE R BOMGAARSCredential: DDS
Location Address2634 GRAND AVE, #106Waukegan, IL 60085-2458
Mailing Address2634 Grand Ave, #106Waukegan, IL 60085-2458 · (847) 662-7588 · Fax (847) 662-3843
Phone(847) 662-7588
Fax(847) 662-3843
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710045489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 21000637
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2634 GRAND AVE, Waukegan, IL 60085
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Other Providers at the Same Location NPPES 7

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

MARTHA E. DIAZ D.D.S., P.C.
Preferred Provider Organization
2634 GRAND AVE, SUITE 207
WAUKEGAN, IL 60085
Lake County (847) 599-3855
ALYSON GENELL MARSALIS LCPC
Counselor (Mental Health)
2634 GRAND AVE, SUITE 107
WAUKEGAN, IL 60085
Lake County (847) 249-3510
SPINE & NERVE TESTING CENTER
Specialist/Technologist, Other (Electroneurodiagnostic)
2634 GRAND AVE, SUITE #101
WAUKEGAN, IL 60085
Lake County (847) 775-7979
MR. JOSEPH E FRYDMAN M.D.
Ophthalmology
2634 GRAND AVE, STE 201
WAUKEGAN, IL 60085
Lake County (847) 336-7797
NORTHWEST SLEEP PROVIDER INC.
Durable Medical Equipment & Medical Supplies
2634 GRAND AVE, SUITE 107
WAUKEGAN, IL 60085
Lake County (847) 508-4135
CENTER FOR NEURO-DIAGNOSTIC TESTING, INC.
Specialist/Technologist, Other (Electroneurodiagnostic)
2634 GRAND AVE, SUITE #101
WAUKEGAN, IL 60085
Lake County (847) 775-7979
DR. DAVID LEE GASTON D.D.S.
Dentist (Periodontics)
2634 GRAND AVE, SUITE 204
WAUKEGAN, IL 60085
Lake County (847) 249-0046

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 Lee Bomgaars's NPI number?

The NPI number for Lee Bomgaars is 1710045489. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Lee Bomgaars located?

Lee Bomgaars practices at 2634 Grand Ave #106, Waukegan, IL 60085. The listed phone number is (847) 662-7588.

What is Lee Bomgaars's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Lee Bomgaars 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.