Bogard, Ryan Drew
Bogard, Ryan Drew is an sole proprietor health care provider with primary practice located at 310 Tri State Pkwy Ste 100 , Gurnee IL 60031-5282. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bogard, Ryan Drew can be contacted via phone (314) 583-3104.Contact Information
Primary practice address
310 Tri State Pkwy Ste 100
Gurnee IL 60031-5282
Phone: (314) 583-3104
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 019.033452 | Illinois |
Profile Details
NPI number | 1740925304 |
---|---|
LBN Legal business name | Bogard, Ryan Drew |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 28th, 2022 |
Last updated | Apr 28th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740925304 | NPPES |
Illinois | Other | 019.033452 | LICENSE NUMBER |
Popular Providers
-
Oppenheimer, Michael Edwin
9938 Main St , Fairfax VA 22031-3901 -
Matin, Madjid
5530 Wisconsin Ave Ste 1110, Chevy Chase MD 20815-4330 -
Smith, Valerie Anne
100 Copeland Dr Unit 3, Mansfield MA 02048-1245 -
Fili, James M
4205 Hillsboro Pike Ste 101 , Nashville TN 37215-3381 -
Cheng, Theresa
22516 Se 64Th Place #250, Issaquah WA 98027 -
Brooks, Joel M
21 Corporate Dr Ste 5, Easton PA 18045-2664 -
Kaplan, Eugene Russell
1777 N Bellflower Blvd Ste 209, Long Beach CA 90815-4020 -
Vandersloot, Ralph Peter
5700 Stoneridge Mall Rd Ste 290, Pleasanton CA 94588-2847