Bogacki & Bogacki DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401008712 Issued in VA

Legal business name

BOGACKI & BOGACKI DDS PC

Practice address

8344 Traford LN
Springfield, VA 22152-1657

Phone

(703) 451-2867

Fax

(703) 991-8448

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Russell Edward Bogacki, DDS

Title

President

Phone

(703) 451-2867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730391475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8344 TRAFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521657",
            "telephone_number": "703-451-2867",
            "fax_number": "703-991-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8344 TRAFORD LN",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521657",
            "telephone_number": "703-451-2867",
            "fax_number": "703-991-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOGACKI & BOGACKI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOGACKI",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-451-2867",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401008712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Muir Boatright, M.S., CCC-SLP
• Corey Boba, RBT
• Lydia Bochat
• Body Logic Chiropractic Inc
• Body Logic Chiropractic LLC
• Katherine Rose Bogacki, DDS
• Russell Edward Bogacki, DDS
• Colleen Boland
• Anne Boling, PSY.D.
• Ashani Bolton

• General Practice Dentistry in Springfield, VA
• Providers in Springfield, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.