Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255561320 Individual Practitioner Male Practitioner

Dr. Kenneth Wayne Bourgeois , DDS

Dentist - General Practice • Tamuning, GU

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Bourgeois, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tamuning, GU. Practice services are available at 226 CHALAN SAN ANTONIO STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

226 Chalan San Antonio Ste C

Tamuning, GU 969133525

Telephone 6716462010
Fax 6716462070
Associated Practice Facility / Clinic
🏢 Reaching Out Ministries Facility NPI 1972733053

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tamuning, GU

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
11 Specialists

Practicing in Tamuning, GU (22 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GU D927

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 14605

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. William Hightower , DDS

Dentist - General Practice

NPI 1336630672

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2009

Registered at 226 CHALAN SAN ANTONIO STE C, TAMUNING, GU 969133525 (Tel: 6716462010)

📍
Updated Business Mailing Address July 22, 2009

Registered at 226 CHALAN SAN ANTONIO STE C, TAMUNING, GU 969133525 (Tel: 6716462010)

👤
Provider Name / Credentials Updated July 22, 2009

Recorded as KENNETH BOURGEOIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2009

Dentist (License #D927 in GU)

🟢
Initial NPI Registration & Enumeration July 22, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255561320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2009
Last Update: July 22, 2009
Sole Proprietor: Yes

Mailing Address

226 Chalan San Antonio Ste C

Tamuning, GU 969133525

Phone: 6716462010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.