Bogacz, David A

Bogacz, David A is an sole proprietor health care provider with primary practice located at 197 Sanborn Rd , Tilton NH 03276-5732. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bogacz, David A can be contacted via phone (603) 496-1683.

Contact Information

Primary practice address
197 Sanborn Rd Tilton NH 03276-5732
Phone: (603) 496-1683
Fax: (603) 286-7060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2019 New Hampshire

Profile Details

NPI number 1144248337
LBN Legal business name Bogacz, David A
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Nov 10th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144248337 NPPES
New Hampshire MEDICAID 00000799
New Hampshire Other 000180773
New Hampshire Other 020390199
New Hampshire MEDICAID 0280364

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