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Deactivated NPI 1174820880 Deactivated / Inactive NPI Male Practitioner

Dr. John Manuel Bogis , DMD

Dentist • Boston, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Bogis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 15, 2011
NPI Deactivation Date April 10, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. John Bogis, DMD was a registered Dentist practicing in Boston, MA. Throughout an active medical career spanning 14 years, Dr. Bogis provided care at the practice location at 179 LONGWOOD AVE until profile deactivation on 2025-04-10.

Practice Location & Contact Primary Location

Practice Address

179 Longwood Ave
Forsyth Hygiene Clinic

Boston, MA 021155804

Telephone 6172782700
Associated Practice Facility / Clinic
🏢 Forsyth Hygiene Program Facility NPI 1114124765

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.9 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
750 Specialists

Practicing in Boston, MA (3030 Statewide)

Telehealth Adoption Rate
0.4% 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA 13255

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Michaela Smith

Physician Assistant

NPI 1013760131
Justin Schneider

Physician Assistant

NPI 1033961750
Joan Palo , PA

Physician Assistant

NPI 1033967245

Physician Assistant

Timothy Winders

Student in an Organized Health Care Education/Training Program

NPI 1043507841
Jakobe Fitzgerald , PA-C

Physician Assistant

NPI 1104743806

Physician Assistant (Certified)

Lauren Crusha

Physician Assistant

NPI 1134971690

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated April 10, 2025

Record deactivated on April 10, 2025

NPI Profile Active February 15, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 15, 2011

Registered at 179 LONGWOOD AVE, FORSYTH HYGIENE CLINIC, BOSTON, MA 021155804 (Tel: 6172782700)

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Updated Business Mailing Address February 15, 2011

Registered at 12 RANGELEY RD, WINCHESTER, MA 018902633 (Tel: 7812486519)

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Provider Name / Credentials Updated February 15, 2011

Recorded as JOHN BOGIS, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2011

Dentist (License #13255 in MA)

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Initial NPI Registration & Enumeration February 15, 2011

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: 1174820880
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2011
Last Update: February 15, 2011
Deactivation Date: April 10, 2025

Mailing Address

12 Rangeley Rd

Winchester, MA 018902633

Phone: 7812486519

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.