location
search-icon
person
Dr. Sidney Lawrence Bourgeois JR., DDS
Oral and Maxillofacial Surgery (Dentist) in Syracuse, New York
NPI 1629071154

Sidney Lawrence Bourgeois JR. is a Oral and Maxillofacial Surgery (Dentist) based in Syracuse, NY and is specialized in Oral and Maxillofacial Surgery. Sidney Lawrence Bourgeois JR. practices in Syracuse, NY and has the professional credentials of DDS. The NPI Number for Sidney Lawrence Bourgeois JR. is 1629071154 and holds a License No. 22617 (New York).

The current practice location address for Sidney Lawrence Bourgeois JR. is 800 Irving Avenue (160), Syracuse, NY and can be reached out via phone at 315-425-2468 and via fax at 315-425-4415.

Location: 800 Irving Avenue (160), Syracuse, NY, 13210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629071154
Provider Name
Sidney Lawrence Bourgeois JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
800 Irving Avenue (160), Syracuse, NY, 13210
Phone Number
315-425-2468
Fax Number
315-425-4415
Provider Enumeration Date
05/30/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
800 Irving Avenue (160)
City
Syracuse
State
New York
Zip
13210
Phone Number
315-425-2468
Fax Number
315-425-4415
person
Provider Business Mailing Address Details
Address
800 Irving Avenue (160)
City
Syracuse
State
New York
Zip
13210
Phone Number
315-425-2468
Fax Number
315-425-4415
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
056936 (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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
204E00000X
License No.
22617 (Texas)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.