Marcel T. Bougher, DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

47233 Issued in CA

Legal business name

MARCEL T. BOUGHER, DDS, INC

Practice address

6280 Jackson Drive Suite 1
San Diego, CA 92119

Phone

(619) 464-2852

NPI assigned

Jul 30, 2008

Organization subpart

No

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

Authorized official

Name

Marcel Todd Bougher, D.D.S.

Title

President

Phone

(619) 708-4060

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1346406303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DRIVE SUITE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92119",
            "telephone_number": "619-464-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6280 JACKSON DRIVE SUITE 1",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92119",
            "telephone_number": "619-464-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCEL T. BOUGHER, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "BOUGHER",
        "authorized_official_first_name": "MARCEL",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-708-4060",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "47233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riolan Marbun, O.D.
• Marc Dentico-Olin DMD MD Inc
• Marc Gehr M.D.
• Krishelle Leong Marc-Aurele, MD
• Maria C Marcano
• Adrianna Marceleno Ochoa
• Jade Marcell Rivera
• Trisha Marcellus, OTR/L
• Rondina Marie Marcelo
• Janice Clare March

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.