DR. GERARD EDWARD-ZACKARY BOGUCKI DMD
NPI 1710092432
Dentist - General Practice in Collinsville, CT

Active since August 20, 2006
66 MAPLE AVENUE, COLLINSVILLE, CT 06019(860) 693-8314(860) 693-4426 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gerard Edward-zackary Bogucki Dmd NPPES

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

DR. GERARD EDWARD-ZACKARY BOGUCKI DMD (NPI 1710092432) is an individual general practice provider in Collinsville, Connecticut, licensed in Connecticut (5072) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1710092432
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GERARD EDWARD-ZACKARY BOGUCKICredential: DMD
Location Address66 MAPLE AVENUECollinsville, CT 06019
Mailing Address66 Maple AvenueCollinsville, CT 06019 · (860) 693-8314 · Fax (860) 693-4426
Fax(860) 693-4426
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1710092432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CT · 5072
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.

66 MAPLE AVENUE, Collinsville, CT 06019

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist (General Practice)
66 MAPLE AVENUE
COLLINSVILLE, CT 06019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710092432, enumerated as an "individual" on August 20, 2006.

The provider is located at 66 MAPLE AVENUE COLLINSVILLE, CT 06019 and the phone number is (860) 693-8314.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.