Bogucki, Jessica Leigh

Bogucki, Jessica Leigh is an individual health care provider with primary practice located at 830 Chalkstone Ave , Providence RI 02908-4734. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Bogucki, Jessica Leigh can be contacted via phone (860) 391-2445.

Contact Information

Primary practice address
830 Chalkstone Ave Providence RI 02908-4734
Phone: (860) 391-2445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1083977672
LBN Legal business name Bogucki, Jessica Leigh
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2012
Last updated Jun 19th, 2012 - about 13 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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