David R. Bourque, D.D.S. , P.C. in N Tonawanda - General Practice
David R. Bourque, D.D.S. , P.C. - NPI 1194929596
David R. Bourque, D.D.S. , P.C. is a General Practice in N Tonawanda, New York. David R. Bourque, D.D.S. , P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for David R. Bourque, D.D.S. , P.C. is 1194929596. The last update date is 2010-06-01.
David R. Bourque, D.D.S. , P.C.'s current location address is 3184 Woodland Ct N, N Tonawanda, New York. You can contact this provider via phone number 7166931971. The mailing address for David R. Bourque, D.D.S. , P.C. is 3184 Woodland Ct N, N Tonawanda, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | David R. Bourque, D.D.S. , P.C. |
|---|---|
| Address | 3184 Woodland Ct N, N Tonawanda, New York |
| Phone Number | 7166931971 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bourque Robert David |
| Credentials | D.D.S. |
| Telephone Number | 7166931971 |
NPI Number Detail
| NPI Number | 1194929596 |
|---|---|
| Provider Enumeration Date | 2007-06-12 |
| Last Updated Date | 2010-06-01 |
Provider Mailing Address Detail
| Address | 3184 Woodland Ct N |
|---|---|
| City | N Tonawanda |
| State | New York (NY) |
| Post Code | 141201153 |
| Phone Number | 7166931971 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 37469 |
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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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What is the unique identification code assigned to David R. Bourque, D.D.S. , P.C. by the Centers for Medicare & Medicaid Services?
The David R. Bourque, D.D.S. , P.C. has been issued the NPI (National Provider Identifier) 1194929596. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where David R. Bourque, D.D.S. , P.C. is physically located?
The David R. Bourque, D.D.S. , P.C. is physically situated at the following address: 3184 Woodland Ct N, N Tonawanda, NY, 141201153.
What is David R. Bourque, D.D.S. , P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The David R. Bourque, D.D.S. , P.C.'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 assign the 1194929596 to David R. Bourque, D.D.S. , P.C.?
The Centers for Medicare & Medicaid Services assigned the 1194929596 to David R. Bourque, D.D.S. , P.C. on 2007-06-12.
As of what date were the details related to David R. Bourque, D.D.S. , P.C. most recently updated or revised?
The information pertaining to David R. Bourque, D.D.S. , P.C., including its address, specialty, and other relevant details, was last updated or revised on 2010-06-01.
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