| Organization Name: | T.S. BOGUSKY, D.D.S., P.C. |
| NPI Number: | 1043484249 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CAROL LEE SCHNEIDER (OFFICE MANAGER) |
| Mailing Address: | 4125 Mexico Rd Saint Peters |
| State: | MO US |
| Postal Code: | 633766410 |
| Phone Number: | 6364474080 |
| Fax Number: | 6364475764 |
| NPI Enumeration Date: | 04/17/2008 |
| NPI Last Update Date: | 04/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 11038 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |