Therese M. Bogs, D.D.S., LTD.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

019-022073 Issued in IL

Legal business name

THERESE M. BOGS, D.D.S., LTD.

Practice address

5601 W Monee Manhattan Rd Ste 117
Monee, IL 60449-8866

Phone

(708) 534-9700

Fax

(708) 534-9228

NPI assigned

Jan 28, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Therese Marie Bogs, DDSNPI 1891831749

Title

President

Phone

(708) 534-9700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Therese Marie Bogs, DDS

  • General Practice Dentistry
  • Monee, IL
  • NPI 1891831749
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1013155191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26634 S WINFIELD RD",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604499220",
            "telephone_number": "708-534-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 W MONEE MANHATTAN RD STE 117",
            "city": "MONEE",
            "state": "IL",
            "postal_code": "604498866",
            "telephone_number": "708-534-9700",
            "fax_number": "708-534-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESE M. BOGS, D.D.S., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "BOGS",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-534-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "019-022073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Monee, IL
• Providers in Monee, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.