Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY G BOURDEAU, DDS
ActiveDentist · NORWAY, MI
Registration Details
- NPI Number
- 1467574608
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2007 (19.073706811019 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D120190 (MI)
Practice Information
- Address
-
510 MAIN STNORWAY, MI, 49870Browse MI providers · Browse ZIP 49870
- Phone
- 9065639291
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in NORWAY, MI
| Name | Credential | NPI |
|---|---|---|
| DR. PETER EDWARD MARANA | DDS | 1457465726 |
| DR. ANGELA MARIAN FORNETTI | DDS | 1821219163 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.