| Dr Kenneth Wayne Bourgeois, DDS | |
|
226 Chalan San Antonio Ste C, Tamuning, GU 96913-3525 | |
| (671) 646-2010 | |
| (671) 646-2070 |
| Full Name | Dr Kenneth Wayne Bourgeois |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 226 Chalan San Antonio Ste C, Tamuning, Guam |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255561320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D927 (Guam) | Primary |
| 1223G0001X | Dentist - General Practice | 14605 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Wayne Bourgeois, DDS 226 Chalan San Antonio Ste C, Tamuning, GU 96913-3525 Ph: (671) 646-2010 | Dr Kenneth Wayne Bourgeois, DDS 226 Chalan San Antonio Ste C, Tamuning, GU 96913-3525 Ph: (671) 646-2010 |
Dr. Nerissa B. Silos, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: #138 Ypao Road, Polyclinic Building, Tamuning, GU 96913 Phone: 671-646-6510 Fax: 671-649-4993 | |
Angie Yang, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 744 N. Marine Corps Dr., Ste 119, Tamuning, GU 96913 Phone: 671-647-8702 Fax: 671-647-8704 | |
Dr. David K. Marutani, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 590 S Marine Corps Dr Ste 104, Tamuning, GU 96913 Phone: 671-649-7851 Fax: 671-649-7853 | |
Dr. Jonathan Visscher, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 | |
Amber Jade Mckeever, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 | |
Dr. Roger John Kaneshiro, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 880 N Marine Corps Dr, Suite 111, Tamuning, GU 96913 Phone: 671-646-9890 Fax: 671-646-9892 | |
Dr. John Sullivan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 548 S Marine Corps Dr, Tamuning, GU 96913 Phone: 671-646-5824 Fax: 671-647-3556 |