MARCEL T. BOUGHER DDS INC NPI 1346406303

NPI Information

NPI: 1346406303
Provider Name: MARCEL T. BOUGHER, DDS, INC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6280 JACKSON DRIVE SUITE 1
SAN DIEGO, CA
ZIP 92119
Phone: (619) 464-2852
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MARCEL T. BOUGHER, DDS, INC is a dental clinic center in San Diego, CA. MARCEL T. BOUGHER, DDS, INC NPI is 1346406303. The provider is registered as an organization entity type.

The provider's business location address is:

6280 JACKSON DRIVE SUITE 1
SAN DIEGO, CA
ZIP 92119
Phone: (619) 464-2852

The provider's authorized official is Marcel Todd Bougher .
The authorized official title is President and has the following contact phone number (619) 708-4060.

The enumeration date for this NPI number is 7/30/2008 and was last updated on 7/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	47233	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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