Provider Demographics
NPI:1194896001
Name:BUGAJ, FRANCIS ALAN (DDS)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:ALAN
Last Name:BUGAJ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 CENTRAL AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-5613
Mailing Address - Country:US
Mailing Address - Phone:847-432-8080
Mailing Address - Fax:848-432-2707
Practice Address - Street 1:806 CENTRAL AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-5613
Practice Address - Country:US
Practice Address - Phone:847-432-8080
Practice Address - Fax:848-432-2707
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019015106122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist