Gerard E Bogucki DMS PC
Organization Active NPI General Practice Dentistry · Collinsville, CT
NPI 1063527786 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1063527786
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5072 (CT)
- Legal business name
- GERARD E BOGUCKI DMS PC
- Practice address
- 66 Maple Avenue
Collinsville, CT 06019 - Phone
- (860) 693-8314
- Fax
- (860) 693-4426
- NPI assigned
- Aug 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Gerard Edward-Zackary Bogucki, DMD
- Title
- President
- Phone
- (860) 693-8314
Practitioners 2
-
Elena V Bielawski, DDS
National Provider Directory
Locations
66 Maple Ave
Collinsville, CT 06019
Phone (860) 693-8314
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 5072 | CT | Yes |
Addresses
Primary practice location
66 Maple Avenue
Collinsville, CT 06019
Mailing address
66 Maple Avenue
Collinsville, CT 06019
Phone (860) 693-8314
Other providers in Collinsville, CT
- Dana Farr
- Paula Flynn
- Elizabeth Anne Gait
- Gerald J Gaura Jr.
- Meghan Geary-Strenk
- Glaser Helpers, Inc.
- Karen Gradischer
- Lynelle Guimond
- Brianna Margaret Hanlon
- Ann L Kearney
All providers in Collinsville, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.