William P Boggess, D.M.D.
Individual provider Active NPI General Practice Dentistry · Jbphh, HI
NPI 1295706265 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1295706265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 6934 (KY)
- Practice address
- 480 Central Ave
Jbphh, HI 96860-4908 - Phone
- (808) 473-3430
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6934 | KY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | 6934 | KY | |
| General Practice Dentistry | 1223G0001X | 6934 | KY | Yes |
Addresses
Primary practice location
480 Central Ave
Jbphh, HI 96860-4908
Mailing address
480 Central Ave
Pearl Harbor, HI 96860-4908
Phone (808) 473-3430
Other practice location 1
113 Obrien St
Greenville, KY 42345-1513
Phone (270) 338-4410
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 844023 | Other | KY | UNITED CONCORDIA |
| YD29 | Other | KY | BCBS FEDERAL |
| 60069341 | Medicaid | KY |
Other providers in Jbphh, HI
- Zachary J Beavis
- Amy Lynn Bene
- Anuree Bennett
- Jean Marie-Remonida Bennett
- Rhonda Bennett
- Dustin Aldridge Bond
- Benjamin Clemens Bowman
- Michael Braud
- Timothy Peter Brender
- Douglas Brook
All providers in Jbphh, HI · General Practice Dentistry in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. 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.