Charles Bukovac, DMD is a
Dentist - General Practice based in Montgomery City, Missouri. Charles Bukovac is licensed to practice in Missouri (license number 2012029542) and his current practice location is
215 South Sturgeon St, Montgomery City, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 564-3726.
NPI number for Charles Bukovac is 1508101338 and his current mailing address is 1687 Dove Rd, Sorento, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508101338.
Healthcare Provider's Profile
Full Name | Charles Bukovac |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 215 South Sturgeon St, Montgomery City, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508101338
- Provider Enumeration Date: 12/05/2012
- Last Update Date: 12/05/2012
Medical Identifiers
Medical identifiers for Charles Bukovac such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508101338 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2012029542 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Bukovac is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charles Bukovac, DMD 1687 Dove Rd, Sorento, IL 62086-3254 Ph: (618) 604-2111 | Charles Bukovac, DMD 215 South Sturgeon St, Montgomery City, MO 63361 Ph: (573) 564-3726 |
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