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Search › New York › 1223S0112X

Sidney Bourgeois, D.D.S

NPI 1629071154 · on the registry since 2005

Practice

Address
800 Irving Avenue (160)
Syracuse, NY 13210
Phone
(315) 425-2468
Fax
(315) 425-4415

Additional practice sites

  • Syracuse Oral And Maxillofacial Surgery, Fayetteville, NY
  • Syracuse Oral And Maxillofacial Surgery, Oneida, NY

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
1223S0112X
204E00000X
204E00000X
Licence states on file
TX, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York