Organization · Type 2 NPI

Robert Busan Dds, PLLC

Dental Clinic/Center · Rockford, IL

NPI number 1932666922 Active

Practice location

4035 Morsay Dr Ste 1
Rockford, IL 61107-4875

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

Another provider at this address

Bogdan Robert Busan, DDSDentist Rockford, IL NPI 1285951004

Other dental clinic/center providers in Rockford

See all in Rockford →

NPI record

NPI: 1932666922
Entity type: Organization (Type 2)
Issued: Feb 26, 2019
Last updated: Aug 26, 2020
Status: Active

Other names

<unavail>
Advanced Periodontics and Implant Specialists · doing business as
Advanced Periodontics and Implant Specialists · doing business as

Authorized official

Dr. Bogdan Robert Busan, DDS
Owner
(949) 285-3147

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1932666922

Robert Busan Dds, PLLC's National Provider Identifier is 1932666922, issued on Feb 26, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rockford, IL. The record was last updated on Aug 26, 2020.