Bourgeois, Sidney Lawrence

Bourgeois, Sidney Lawrence is an individual health care provider with primary practice located at 800 Irving Avenue (160) , Syracuse NY 13210. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Bourgeois, Sidney Lawrence can be contacted via phone (315) 425-2468.

Contact Information

Primary practice address
800 Irving Avenue (160) Syracuse NY 13210
Phone: (315) 425-2468
Fax: (315) 425-4415
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 22617 Texas
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 056936 New York
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 22617 Texas
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 056936 New York

Profile Details

NPI number 1629071154
LBN Legal business name Bourgeois, Sidney Lawrence
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated Jul 28th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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