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General NPI Number Information
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NPI Number | 1295706265
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Entity Type | Individual
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Provider Name | WILLIAM P BOGGESS D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 480 CENTRAL AVE
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City | JBPHH
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State | HI
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Zip | 96860-4908
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Country | US
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Telephone | 808-473-3430
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Fax |
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Provider Business Mailing Address
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Address Line | 480 CENTRAL AVE
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City | PEARL HARBOR
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State | HI
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Zip | 96860-4908
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Country | US
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Telephone | 808-473-3430
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0008X
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Taxonomy Name | Oral and Maxillofacial Radiology Dentistry
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License Number | 6934
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6934
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License Number State | KY
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