# BOGACKI & BOGACKI DDS PC

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

## Provider details

- **NPI number:** 1730391475
- **Authorized official:** DR. RUSSELL EDWARD BOGACKI DDS (PRESIDENT)
- **Authorized official phone:** (703) 451-2867

## Contact information

- **Practice address:** 8344 TRAFORD LN, SPRINGFIELD, VA 22152-1657
- **Practice address phone:** (703) 451-2867
- **Practice address fax:** (703) 991-8448
- **Mailing address:** 8344 TRAFORD LN, SPRINGFIELD, VA 22152-1657
- **Mailing address phone:** (703) 451-2867
- **Mailing address fax:** (703) 991-8448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401008712 | VA | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020