DR. GERARD EDWARD-ZACKARY BOGUCKI DMD NPI 1710092432

NPI Information

DR. Gerard Edward-zackary Bogucki, DMD is a general practice dentist in Collinsville, CT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Gerard Edward-zackary Bogucki, DMD NPI is 1710092432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

66 MAPLE AVENUE
COLLINSVILLE, CT
ZIP 06019
Phone: (860) 693-8314
Fax: (860) 693-4426

The enumeration date for this NPI number is 8/20/2006 and was last updated on 7/8/2007.

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:

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