Individual provider · Type 1 NPI

Ryan Drew Bogard, DDS

Periodontics · Gurnee, IL

NPI number 1740925304 Active

Practice location

310 Tri State Pkwy Ste 100
Gurnee, IL 60031-5282

Mailing address

1233 Blackthorn Ln
Deerfield, IL 60015-3103

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X019.033452 (IL)

Periodontics: 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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About NPI 1740925304

Ryan Drew Bogard, DDS's National Provider Identifier is 1740925304, issued on Apr 28, 2022. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Gurnee, IL. The record was last updated on Apr 28, 2022.