Timothy G. Bourdon, Dds, Llc in Pueblo - General Practice
Timothy G. Bourdon, Dds, Llc - NPI 1356558845
Timothy G. Bourdon, Dds, Llc is a General Practice in Pueblo, Colorado. Timothy G. Bourdon, Dds, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy G. Bourdon, Dds, Llc is 1356558845. The last update date is 2020-08-22.
Timothy G. Bourdon, Dds, Llc's current location address is 902 W 29th St, Pueblo, Colorado. You can contact this provider via phone number 7195421212 and fax number 7195455525. The mailing address for Timothy G. Bourdon, Dds, Llc is 902 W 29th St, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Timothy G. Bourdon, Dds, Llc |
|---|---|
| Address | 902 W 29th St, Pueblo, Colorado |
| Phone Number | 7195421212 |
| Fax Number | 7195455525 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DENT |
|---|---|
| Authorized Official Name | Bourdon G Timothy |
| Credentials | DDS |
| Telephone Number | 7195421212 |
NPI Number Detail
| NPI Number | 1356558845 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 902 W 29th St |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810081159 |
| Phone Number | 7195421212 |
| Fax Number | 7195455525 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 105821 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the Timothy G. Bourdon, Dds, Llc's unique identification number?
The Timothy G. Bourdon, Dds, Llc has been assigned the NPI (National Provider Identifier) Number 1356558845 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Timothy G. Bourdon, Dds, Llc's facilities are geographically located?
The facilities of Timothy G. Bourdon, Dds, Llc are physically situated at the following location: 902 W 29Th St, Pueblo, CO, 810081159.
What is Timothy G. Bourdon, Dds, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy G. Bourdon, Dds, Llc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1356558845 to Timothy G. Bourdon, Dds, Llc?
The Timothy G. Bourdon, Dds, Llc received its 1356558845 assignment from the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date were the details related to Timothy G. Bourdon, Dds, Llc most recently updated or revised?
The information pertaining to Timothy G. Bourdon, Dds, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.