Dr. Larissa Bogomolny, DMD
Dentist, General Practice in East Brunswick, New Jersey
1457688814- Practice location
- 29 Brunswick Woods Dr, East Brunswick, NJ 08816-5601
- Phone
- 732-718-3676
- Fax
- —
- Last updated
- August 2, 2011
Larissa Bogomolny is a Dentist, General Practice based in East Brunswick, NJ. Larissa Bogomolny practices in East Brunswick, NJ and has the professional credentials of DMD. The NPI Number for Larissa Bogomolny is 1457688814 and holds a License No. 22DI02420200 (NJ). The current practice location address for Larissa Bogomolny is 29 Brunswick Woods Dr, East Brunswick, NJ 08816-5601 and can be reached out via phone at 732-718-3676.
Provider Profile Details
- NPI Number
- 1457688814
- Provider Name
- Larissa Bogomolny
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 29 Brunswick Woods Dr, East Brunswick, NJ 08816-5601
- Phone Number
- 732-718-3676
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 5, 2009
- Last Update Date
- August 2, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 Brunswick Woods Dr
East Brunswick, NJ 08816-5601 - City
- East Brunswick
- State
- New Jersey
- Zip
- 08816-5601
- Phone Number
- 732-718-3676
Provider Business Mailing Address Details
- Address
- 6 Periwinkle CT
East Brunswick, NJ 08816-2783 - City
- East Brunswick
- State
- NJ
- Zip
- 08816-2783
- Phone Number
- 732-718-3676
License Information
- License Number
- 22DI02420200
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Larissa Bogomolny, DMD?
The NPI number of Dr. Larissa Bogomolny, DMD is 1457688814. It was assigned on November 5, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Larissa Bogomolny, DMD?
Dr. Larissa Bogomolny, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02420200.
Where does Dr. Larissa Bogomolny, DMD practice?
The practice location is 29 Brunswick Woods Dr, East Brunswick, NJ 08816-5601. The office can be reached at 732-718-3676 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457688814 directly on the NPPES registry website.