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Dr. Gregory Charles Bohle, DDS,MD
Oral and Maxillofacial Surgery (Dentist) in Centereach, New York
NPI 1538303243

Gregory Charles Bohle is a Oral and Maxillofacial Surgery (Dentist) based in Centereach, NY and is specialized in Oral and Maxillofacial Surgery. Gregory Charles Bohle practices in Centereach, NY and has the professional credentials of DDS,MD. The NPI Number for Gregory Charles Bohle is 1538303243 and holds a License No. 055610 (New York).

The current practice location address for Gregory Charles Bohle is 1 Mark Tree Rd, Centereach, NY and can be reached out via phone at 631-737-2626 and via fax at 631-673-6299.

Location: 1 Mark Tree Rd, Centereach, NY, 11720-2279
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538303243
Provider Name
Gregory Charles Bohle
Credential
DDS,MD
Provider Entity Type
Individual
Gender
Male
Address
1 Mark Tree Rd, Centereach, NY, 11720-2279
Phone Number
631-737-2626
Fax Number
631-673-6299
Provider Enumeration Date
04/24/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1 Mark Tree Rd
City
Centereach
State
New York
Zip
11720-2279
Phone Number
631-737-2626
Fax Number
631-673-6299
person
Provider Business Mailing Address Details
Address
1 Mark Tree Rd
City
Centereach
State
New York
Zip
11720-2279
Phone Number
631-737-2626
Fax Number
631-673-6299
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
055610 (New York)
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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