Sidney Bourgeois, D.D.S.
NPI 1629071154 belongs to Sidney Bourgeois, D.D.S., an oral and maxillofacial surgery (dentist) with a practice location in Syracuse, NY. The NPI was issued on May 30, 2005, and the record was last updated in NPPES on July 28, 2021. The record lists 4 taxonomy codes. 2 additional practice locations are listed.
This record hasn't been updated in NPPES since 2021. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 056936 (NY) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 22617 (TX) |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 056936 (NY) |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 22617 (TX) |
Practice locations
516 East Genesee Street
Fayetteville, NY 13066
578 Seneca Street
Oneida, NY 13421
Local context
Active NPPES records list 30 providers with oral and maxillofacial surgery (dentist) as the primary taxonomy within 25 miles of this practice location's ZIP code, 21 of them within 10 miles.
The same primary taxonomy is listed by 920 in New York and 12,969 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Name on record
- Dr. Sidney Lawrence Bourgeois Jr.
- Status
- Active
- NPI issued
- Last updated in NPPES
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NPPES data as of · Source: CMS NPPES
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