DR. RYAN DREW BOGARD DDS
NPI 1740925304
Dentist - Periodontics in Gurnee, IL

Active since April 28, 2022
310 TRI STATE PKWY STE 100, GURNEE, IL 60031(314) 583-3104 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ryan Drew Bogard Dds NPPES

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

DR. RYAN DREW BOGARD DDS (NPI 1740925304) is an individual periodontics provider in Gurnee, Illinois, licensed in Illinois (019.033452) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1740925304
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. RYAN DREW BOGARDCredential: DDS
Location Address310 TRI STATE PKWY STE 100Gurnee, IL 60031-5282
Mailing Address1233 Blackthorn LnDeerfield, IL 60015-3103 · (314) 583-3104
Sole ProprietorYes
Enumeration DateApril 28, 2022
NPPES CertifiedApril 28, 2022
NPI 1740925304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in IL · 019.033452
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
310 TRI STATE PKWY STE 100, Gurnee, IL 60031

Other Identifiers 1

Other019.033452IL · License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Multi-Specialty)
310 TRI STATE PKWY STE 100
GURNEE, IL 60031
Dentist (Periodontics)
310 TRI STATE PKWY STE 100
GURNEE, IL 60031

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 Ryan Bogard's NPI number?

The NPI number for Ryan Bogard is 1740925304. It was assigned to this individual provider in the NPPES registry on April 28, 2022.

Where is Ryan Bogard located?

Ryan Bogard practices at 310 Tri State Pkwy Ste 100, Gurnee, IL 60031. The listed phone number is (314) 583-3104.

What is Ryan Bogard's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Ryan Bogard accept?

Health plans from BEST Life, HRI Dental & Vision, Humana, Paramount and UnitedHealthcare list Ryan Bogard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Bogard was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.