Individual
WILLIAM P BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
480 CENTRAL AVE, JBPHH, HI 96860-4908
(808) 473-3430
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 473-3430
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6934
KY
1223X0008X
Oral and Maxillofacial Radiology Dentistry
6934
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60069341
—
KY
01
—
844023
UNITED CONCORDIA
KY
01
—
YD29
BCBS FEDERAL
KY
Enumeration date
01/30/2006
Last updated
12/13/2023
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