# T.S. BOGUSKY, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043484249
- **Authorized official:** MISS CAROL LEE SCHNEIDER (OFFICE MANAGER)
- **Authorized official phone:** (636) 447-4080

## Contact information

- **Practice address:** 4125 MEXICO RD, SAINT PETERS, MO 63376-6410
- **Practice address phone:** (636) 447-4080
- **Practice address fax:** (636) 447-5764
- **Mailing address:** 4125 MEXICO RD, SAINT PETERS, MO 63376-6410
- **Mailing address phone:** (636) 447-4080
- **Mailing address fax:** (636) 447-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 11038 | MO | Yes |

## Other

- **Enumeration date:** 04/17/2008
- **Last updated:** 04/17/2008