Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kenneth Wayne Bourgeois, DDS

Individual provider General Practice Dentistry · NPI 1255561320

Dr. Kenneth Wayne Bourgeois, DDS is a General Practice Dentistry in Tamuning, Guam. Practices as a sole proprietor. Licensed in Guam and Texas.

Licensed in
GU, TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

226 Chalan San Antonio Ste C
Tamuning, GU 96913-3525
Phone: (671) 646-2010
Fax: (671) 646-2070

No coordinates on file. Search this address in Google Maps

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D927 (GU)
General Practice Dentistry Taxonomy 1223G0001X · Licence 14605 (TX)

Record details

NPI number1255561320
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 22, 2009
Last updated in NPPESJuly 22, 2009

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