Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. LEE R BOMGAARS, DDS
ActiveMR. LEE R BOMGAARS, DDS is a Pediatric Dentistry healthcare provider located in WAUKEGAN, Illinois. NPI 1710045489 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · WAUKEGAN, IL
Registration Details
- NPI Number
- 1710045489
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2006 (19.709203002071 yrs)
- Last Updated
- Jul 8, 2007
- License
-
21000637 (IL)
Practice Information
- Address
-
2634 GRAND AVE#106WAUKEGAN, IL, 600852458Browse IL providers · Browse ZIP 60085
- Phone
- 8476627588
- Fax
- 8476623843
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
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.