Daniel L. Bolgren
Periodontist
1920 John F Kennedy Rd
Dubuque
, Iowa 52002-3896
Daniel L. Bolgren
Periodontist
1920 John F Kennedy Rd
Dubuque
, Iowa 52002-3896
(563) 557-8150
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Daniel L. Bolgren
- 1920 John F Kennedy Rd
- Dubuque, IA
- Zip : 52002-3896
- Phone : (563) 557-8150
Second Address
- Daniel L. Bolgren
- 1920 John F Kennedy Rd
- Dubuque, IA
- Zip : 52002-3896
- Phone : (563) 557-8150
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 6259 | IA |
National Provider Identifier
| NPI | 1033263629 |
|---|---|
| Provider Name | Daniel L. Bolgren |
| First Address | Dubuque, IA 52002-3896 |
| Second Address | Dubuque, IA 52002-3896 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.