Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952319832 Individual Practitioner Male Practitioner

Dr. Mark R Bognar , DDS

Dentist • Watersmeet, MI

Professional Overview & Biography Verified Profile Summary

Dr. Mark Bognar, DDS is a registered healthcare professional specializing in Dentist in Watersmeet, MI. Practice services are available at E 23970 POW WOW TRAIL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

E 23970 Pow Wow Trail Rd
Lac Vieux Desert Health Center

Watersmeet, MI 499690249

Telephone 9063584587
Fax 9063584118

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Watersmeet, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Watersmeet, MI (3647 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901019957

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License WI 3856015

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
33731100 (WI)
Commercial Insurance / Payer ID Security Health Plan
45575 (WI)

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1275713570

Doctor of Dental Surgery

NPI 1306333596
NPI 1639119225

Doctor of Medicine (M.D.)

Patti Paige , FNP

Nurse Practitioner - Family

NPI 1811197304

Family Nurse Practitioner

Lisa Meza , PA-C

Physician Assistant

NPI 1811363690

Physician Assistant (Certified)

Kevin Johnson , FNP

Nurse Practitioner - Family

NPI 1952961567

Family Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 09, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2009

Registered at E 23970 POW WOW TRAIL RD, LAC VIEUX DESERT HEALTH CENTER, WATERSMEET, MI 499690249 (Tel: 9063584587)

📍
Updated Business Mailing Address March 09, 2009

Registered at PO BOX 249, WATERSMEET, MI 499690249 (Tel: 9063584587)

👤
Provider Name / Credentials Updated March 09, 2009

Recorded as MARK BOGNAR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2009

Dentist (License #2901019957 in MI)

🟢
Initial NPI Registration & Enumeration August 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mark Bognar. Be the first to share your experience!

Sign in to leave a review for Dr. Mark Bognar

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1952319832
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: March 09, 2009
Sole Proprietor: No

Mailing Address

Po Box 249

Watersmeet, MI 499690249

Phone: 9063584587

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.