Gerard F Koorbusch in Bismarck - Oral And Maxillofacial Surgery

Gerard F Koorbusch - NPI 1003859224

Gerard F Koorbusch is a Oral And Maxillofacial Surgery in Bismarck, North Dakota. Gerard F Koorbusch practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gerard F Koorbusch is 1003859224. The last update date is 2010-12-14.

Gerard F Koorbusch's current location address is 1140 W Capitol Ave, Bismarck, North Dakota. You can contact this provider via phone number 7012587220 and fax number 7012222329. The mailing address for Gerard F Koorbusch is 1140 W Capitol Ave, Bismarck, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerard F Koorbusch
Address 1140 W Capitol Ave, Bismarck, North Dakota
Phone Number 7012587220
Fax Number 7012222329
Sole Proprietor N
Credentials DDS, MBA

NPI Number Detail

NPI Number 1003859224
Provider Enumeration Date 2006-06-14
Last Updated Date 2010-12-14

Provider Mailing Address Detail

Address 1140 W Capitol Ave
City Bismarck
State North Dakota (ND)
Post Code 585019956
Phone Number 7012587220
Fax Number 7012222329

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 1818
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1818 ND DENTAL LICENSE
41121 ND --

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FAQs about Gerard F Koorbusch

What is the unique 10-digit identifier code assigned to Gerard F Koorbusch by the Centers for Medicare & Medicaid Services?

The Gerard F Koorbusch has been issued the NPI (National Provider Identifier) 1003859224 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Gerard F Koorbusch is located?

The Gerard F Koorbusch is situated at the following address: 1140 W Capitol Ave, Bismarck, ND, 585019956.

What is Gerard F Koorbusch's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gerard F Koorbusch is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.

When did Gerard F Koorbusch receive its 1003859224 assignment?

The Gerard F Koorbusch was assigned its 1003859224 on 2006-06-14, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Gerard F Koorbusch, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Gerard F Koorbusch, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-12-14.

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