Bryon C Bouchelion in Orland Park - Oral And Maxillofacial Surgery
Bryon C Bouchelion - NPI 1801966478
Bryon C Bouchelion is a Oral And Maxillofacial Surgery in Orland Park, Illinois. Bryon C Bouchelion practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bryon C Bouchelion is 1801966478. The last update date is 2007-07-08.
Bryon C Bouchelion's current location address is 10713 W 159th St, Orland Park, Illinois. You can contact this provider via phone number 7083015000 and fax number 7084038966. The mailing address for Bryon C Bouchelion is 10713 W 159th St, Orland Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryon C Bouchelion |
|---|---|
| Address | 10713 W 159th St, Orland Park, Illinois |
| Phone Number | 7083015000 |
| Fax Number | 7084038966 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1801966478 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10713 W 159th St |
|---|---|
| City | Orland Park |
| State | Illinois (IL) |
| Post Code | 60467 |
| Phone Number | 7083015000 |
| Fax Number | 7084038966 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique 10-digit identification code assigned to Bryon C Bouchelion by the Centers for Medicare & Medicaid Services?
The Bryon C Bouchelion has been issued the NPI (National Provider Identifier) 1801966478, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bryon C Bouchelion located?
The Bryon C Bouchelion is located at 10713 W 159Th St, Orland Park, IL 60467.
What is Bryon C Bouchelion's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bryon C Bouchelion's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801966478 to Bryon C Bouchelion?
The Bryon C Bouchelion received its 1801966478 assignment from the Centers for Medicare & Medicaid Services on 2006-11-09.
When was the information pertaining to Bryon C Bouchelion most recently updated or revised?
The details related to Bryon C Bouchelion, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1972505162
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