Active NPIIndividual providerSole proprietor

Dr. William L Bourassa, DMD

Dentist, Pediatric Dentistry in North Andover, Massachusetts

NPI Number1427261734
Practice location
555 Turnpike St, Suite 51, North Andover, MA 01845-5923
Fax
978-685-2040
Last updated
July 8, 2007

William L Bourassa is a Dentist, Pediatric Dentistry based in North Andover, MA. William L Bourassa practices in North Andover, MA and has the professional credentials of DMD. The NPI Number for William L Bourassa is 1427261734 and holds a License No. 12332 (MA). The current practice location address for William L Bourassa is 555 Turnpike St, Suite 51, North Andover, MA 01845-5923 and can be reached out via phone at 978-685-4055 and via fax at 978-685-2040.

Provider Profile Details

NPI Number
1427261734
Provider Name
William L Bourassa
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
555 Turnpike St, Suite 51, North Andover, MA 01845-5923
Phone Number
978-685-4055
Fax Number
978-685-2040
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
May 7, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Turnpike St
Suite 51
North Andover, MA 01845-5923
Zip
01845-5923
Phone Number
978-685-4055
Fax Number
978-685-2040
North Andover, MA 01845Get directions →

Provider Business Mailing Address Details

Address
30 Algonquin Ave
Andover, MA 01810-5528
City
Andover
State
MA
Zip
01810-5528
Phone Number
978-685-4055
Fax Number
978-685-2040

License Information

License Number
12332
License State
MA
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. William L Bourassa, DMD?

The NPI number of Dr. William L Bourassa, DMD is 1427261734. It was assigned on May 7, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. William L Bourassa, DMD?

Dr. William L Bourassa, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number 12332.

Where does Dr. William L Bourassa, DMD practice?

The practice location is 555 Turnpike St, Suite 51, North Andover, MA 01845-5923. The office can be reached at 978-685-4055 (phone) or 978-685-2040 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427261734 directly on the NPPES registry website.

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