Dr Kenneth Wayne Bourgeois, DDS - Dentist in Tamuning, GU

Dr Kenneth Wayne Bourgeois, DDS is a Dentist - General Practice based in Tamuning, Guam. Dr Kenneth Wayne Bourgeois is licensed to practice in Guam (license number D927) and his current practice location is 226 Chalan San Antonio Ste C, Tamuning, Guam. He can be reached at his office (for appointments etc.) via phone at (671) 646-2010.

NPI number for Dr Kenneth Wayne Bourgeois is 1255561320 and his current mailing address is 226 Chalan San Antonio Ste C, Tamuning, Guam. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255561320.

Contact Information

Dr Kenneth Wayne Bourgeois, DDS
226 Chalan San Antonio Ste C,
Tamuning, GU 96913-3525
(671) 646-2010
(671) 646-2070



Healthcare Provider's Profile

Full NameDr Kenneth Wayne Bourgeois
GenderMale
SpecialityDentist - General Practice
Location226 Chalan San Antonio Ste C, Tamuning, Guam
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255561320
  • Provider Enumeration Date: 07/22/2009
  • Last Update Date: 07/22/2009

Medical Identifiers

Medical identifiers for Dr Kenneth Wayne Bourgeois such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255561320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D927 (Guam)Primary
1223G0001XDentist - General Practice 14605 (Texas)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth Wayne Bourgeois is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth Wayne Bourgeois, DDS
226 Chalan San Antonio Ste C,
Tamuning, GU 96913-3525

Ph: (671) 646-2010
Dr Kenneth Wayne Bourgeois, DDS
226 Chalan San Antonio Ste C,
Tamuning, GU 96913-3525

Ph: (671) 646-2010

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› Verified 4 days ago


Dentist in Tamuning, GU

Dr. Nerissa B. Silos, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: #138 Ypao Road, Polyclinic Building, Tamuning, GU 96913
Phone: 671-646-6510    Fax: 671-649-4993
Angie Yang, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 744 N. Marine Corps Dr., Ste 119, Tamuning, GU 96913
Phone: 671-647-8702    Fax: 671-647-8704
Dr. David K. Marutani, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 590 S Marine Corps Dr Ste 104, Tamuning, GU 96913
Phone: 671-649-7851    Fax: 671-649-7853
Dr. Jonathan Visscher, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 388 Ypao Rd, Tamuning, GU 96913
Phone: 671-646-8881    
Amber Jade Mckeever, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 388 Ypao Rd, Tamuning, GU 96913
Phone: 671-646-8881    
Dr. Roger John Kaneshiro, DDS, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 880 N Marine Corps Dr, Suite 111, Tamuning, GU 96913
Phone: 671-646-9890    Fax: 671-646-9892
Dr. John Sullivan, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 548 S Marine Corps Dr, Tamuning, GU 96913
Phone: 671-646-5824    Fax: 671-647-3556

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