Individual
DR. WILLIAM J BOGGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
(701) 417-4640
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2398
ND
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
16610
ND
Other
Enumeration date
03/11/2011
Last updated
03/28/2022
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