Thomas Samuel Bogusky, D.D.S.
Dentist, General Practice in Saint Peters, MO. Individual provider (NPI-1).
NPI number1669533899
StatusActive
Last updated in NPPESNov 11, 2007
Details
- NPI
- 1669533899
- Entity type
- Individual (NPI-1)
- Name
- Thomas Samuel Bogusky
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2006
- Last updated
- Nov 11, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 11038 | MO | Yes |
Practice location
4125 Mexico RdSaint Peters, MO 63376-6410
Phone 636-447-4080 · Fax 636-447-5764
Mailing address
4125 Mexico RdSaint Peters, MO 63376-6410
Phone 636-447-4080 · Fax 636-447-5764
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