DR. Sidney Lawrence Bourgeois, D.D.S. is an oral and maxillofacial surgery dentist in Syracuse, NY. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Sidney Lawrence Bourgeois, D.D.S. NPI is 1629071154. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
800 IRVING AVENUE (160)
SYRACUSE, NY
ZIP 13210
Phone: (315) 425-2468
Fax: (315) 425-4415
The NPI 1629071154 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 5/30/2005 and was last updated on 7/28/2021.