Dr Gerard Edward-zackary Bogucki, DMD is a
Dentist - General Practice based in Collinsville, Connecticut. Dr Gerard Edward-zackary Bogucki is licensed to practice in Connecticut (license number 5072) and his current practice location is
66 Maple Avenue, Collinsville, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 693-8314.
NPI number for Dr Gerard Edward-zackary Bogucki is 1710092432 and his current mailing address is 66 Maple Avenue, Collinsville, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710092432.
Healthcare Provider's Profile
Full Name | Dr Gerard Edward-zackary Bogucki |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 66 Maple Avenue, Collinsville, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710092432
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Gerard Edward-zackary Bogucki such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710092432 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5072 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gerard Edward-zackary Bogucki is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Gerard Edward-zackary Bogucki, DMD 66 Maple Avenue, Collinsville, CT 06019 Ph: (860) 693-8314 | Dr Gerard Edward-zackary Bogucki, DMD 66 Maple Avenue, Collinsville, CT 06019 Ph: (860) 693-8314 |
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