Individual provider · Type 1 NPI
Lee R. Bomgaars, DDS
Pediatric Dentistry · Waukegan, IL
NPI number
1710045489
Active
Practice location
2634 Grand Ave, #106
Waukegan, IL 60085-2458
Fax (847) 662-3843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 21000637 (IL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
7 other providers at this address
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- Martha E. Diaz D.d.s., P.c.Preferred Provider Organization Waukegan, IL NPI 1043481765
- Northwest Sleep Provider Inc.Durable Medical Equipment & Medical Supplies Waukegan, IL NPI 1497085906
- Spine & Nerve Testing CenterElectroneurodiagnostic Specialist/Technologist Waukegan, IL NPI 1114143088
- Alyson Genell Marsalis, LCPCMental Health Counselor Waukegan, IL NPI 1104928688
- David Lee Gaston, DDSPeriodontics Waukegan, IL NPI 1851502033
- Joseph E. Frydman, MDOphthalmology Physician Waukegan, IL NPI 1144226762
About NPI 1710045489
Lee R. Bomgaars, DDS's National Provider Identifier is 1710045489, issued on Dec 5, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Waukegan, IL. The record was last updated on Jul 8, 2007.