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
Mailing address226 Chalan San Antonio Ste C, Tamuning, GU 96913-3525

Other providers in Tamuning