| Gerard E Bogucki Dms Pc | |
|
66 Maple Avenue Collinsville CT 06019 | |
| (860) 693-8314 | |
| (860) 693-4426 |
| Full Name | Gerard E Bogucki Dms Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 66 Maple Avenue, Collinsville, Connecticut |
| Authorized Official Name and Position | Gerard Edward-zackary Bogucki (PRESIDENT) |
| Authorized Official Contact | 8606938314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerard E Bogucki Dms Pc 66 Maple Avenue Collinsville CT 06019 Ph: (860) 693-8314 | Gerard E Bogucki Dms Pc 66 Maple Avenue Collinsville CT 06019 Ph: (860) 693-8314 |
| NPI Number | 1063527786 |
|---|---|
| Provider Enumeration Date | 08/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063527786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5072 (Connecticut) | Primary |