Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RUSSELL EDWARD BOGACKI, DDS
ActiveGeneral Dentistry · SPRINGFIELD, VA
Registration Details
- NPI Number
- 1083605943
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2005 (20.472461864168 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0401008712 (VA)
Practice Information
- Address
-
8344 TRAFORD LNSUITE 3DSPRINGFIELD, VA, 221521657Browse VA providers · Browse ZIP 22152
- Phone
- 7034512867
- Fax
- 7039918448
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SPRINGFIELD, VA
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID HOM | DDS | 1154326700 |
| DR. SARA T BRENDMOEN | — | 1972596286 |
| DR. STEPHEN C TUPMAN | DDS | 1679566988 |
| DR. LAWRENCE D ROSENMAN | D.D.S. | 1982697280 |
| DR. NHIEN-PHUONG KHOI LU | D.D.S. | 1962490227 |
| DR. KATHERINE ROSE BOGACKI | DDS | 1346231172 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.