Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KENNETH WAYNE BOURGEOIS, DDS
Active Sole ProprietorDR. KENNETH WAYNE BOURGEOIS, DDS is a General Dentistry healthcare provider located in TAMUNING, Guam. NPI 1255561320 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · TAMUNING, GU
Registration Details
- NPI Number
- 1255561320
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2009 (17.03048447915 yrs)
- Last Updated
- Jul 22, 2009
- Licenses
-
D927 (GU)14605 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
226 CHALAN SAN ANTONIO STE CTAMUNING, GU, 969133525Browse GU providers · Browse ZIP 96913
- Phone
- 6716462010
- Fax
- 6716462070
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in TAMUNING, GU
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY P. BRADY | D.D.S. | 1225050529 |
| DR. WAYNE WARD | DDS. | 1801915673 |
| DR. JONATHAN VISSCHER | D.D.S. | 1053560565 |
| DR. STANLEY YORK YASUHIRO | D.D.S. | 1598903023 |
| DR. TOM SERAFICA VELORIA | D.M.D. | 1821329285 |
| DR. SARAH LEE CLEGG | D.D.S | 1457764417 |
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.