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Dr. Ryan Drew Bogard, DDS
Periodontist in Gurnee, Illinois
NPI 1740925304

Ryan Drew Bogard is a Periodontist based in Deerfield, IL and is specialized in Periodontics. Ryan Drew Bogard practices in Gurnee, IL and has the professional credentials of DDS. The NPI Number for Ryan Drew Bogard is 1740925304 and holds a License No. 019.033452 (Illinois).

The current practice location address for Ryan Drew Bogard is 310 Tri State Pkwy Ste 100, Gurnee, IL and can be reached out via phone at 314-583-3104.

Location: 310 Tri State Pkwy Ste 100, Gurnee, IL, 60015-3103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740925304
Provider Name
Ryan Drew Bogard
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
310 Tri State Pkwy Ste 100, Gurnee, IL, 60015-3103
Phone Number
314-583-3104
Fax Number
Provider Enumeration Date
04/28/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019.033452 01 IL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
310 Tri State Pkwy Ste 100
City
Gurnee
State
Illinois
Zip
60031-5282
Phone Number
314-583-3104
Fax Number
person
Provider Business Mailing Address Details
Address
310 Tri State Pkwy Ste 100
City
Gurnee
State
Illinois
Zip
60031-5282
Phone Number
314-583-3104
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
019.033452 (Illinois)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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