Search › Illinois › 122300000X
John Bukovac, DMD
NPI 1760650790 · on the registry since 2008 · sole proprietor
Practice
- Address
- 411 W Main St
Collinsville, IL 62234 - Phone
- (618) 345-4411
- Fax
- (618) 345-9059
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois