Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SIDNEY LAWRENCE BOURGEOIS JR., D.D.S.
ActiveDR. SIDNEY LAWRENCE BOURGEOIS JR., D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in SYRACUSE, New York. NPI 1629071154 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · SYRACUSE, NY
Registration Details
- NPI Number
- 1629071154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 30, 2005 (21.251370840411 yrs)
- Last Updated
- Jul 28, 2021
- Licenses
-
22617 (TX)056936 (NY)22617 (TX)056936 (NY)
Practice Information
- Address
-
800 IRVING AVENUE (160)SYRACUSE, NY, 13210Browse NY providers · Browse ZIP 13210
- Phone
- 3154252468
- Fax
- 3154254415
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in SYRACUSE, NY
| Name | Credential | NPI |
|---|---|---|
| DR. NANCY CREED | DMD | 1356304877 |
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.