Dr. Gary D Bogachus , DDS
Dentist - Prosthodontics • Bellevue, WA
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. Gary Bogachus has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Gary Bogachus, DDS was a registered Dentist - Prosthodontics practicing in Bellevue, WA. Throughout an active medical career spanning 9 years, Dr. Bogachus provided care at the practice location at 1800 116TH AVE NE until profile deactivation on 2017-11-13.
Practice Location & Contact Primary Location
1800 116th Ave Ne
Suite 203
Bellevue, WA 980043043
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - Prosthodontics in Bellevue, WA
Practicing in Bellevue, WA (103 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223P0700X
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist - Endodontics
DDSMSD
Dentist - Prosthodontics
Doctor of Dental Surgery, MSD
Otolaryngology
Doctor of Medicine (M.D.)
Registered Nurse
Advanced Registered Nurse Practitioner
Otolaryngology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 13, 2017
NPI status registered as active in NPPES database
Registered at 1800 116TH AVE NE, SUITE 203, BELLEVUE, WA 980043043 (Tel: 4254531307)
Registered at 1800 116TH AVE NE, SUITE 203, BELLEVUE, WA 980043043 (Tel: 4254531307)
Recorded as GARY BOGACHUS, D.D.S.
Dentist (License #DE00004187 in WA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1800 116th Ave Ne, Suite 203
Bellevue, WA 980043043
Phone: 4254531307
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