Larry G. Bourdeau, DDS
Dentist · Norway, MI
Practice location
510 Main StNorway, MI 49870
- Phone
- (906) 563-9291
NPI record
- NPI
- 1467574608
- Entity type
- Individual (Type 1)
- Enumeration date
- April 6, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X |
D120190 | MI |
Mailing address
PO Box 162Norway, MI 49870-0162
- Phone
- (906) 563-9291
About Dr. Bourdeau
Larry G. Bourdeau, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 510 Main St, Norway, MI 49870. The NPI number 1467574608 was assigned on April 6, 2007 and the record was last updated on July 8, 2007.
Dr. Bourdeau lists a license in the registry: #D120190 (MI) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Larry G. Bourdeau, DDS?
The NPI number is 1467574608.
What is the phone number of Dr. Bourdeau?
The phone number listed for the practice location is (906) 563-9291.
Where is Dr. Bourdeau located?
510 Main St, Norway, MI 49870.
What is the taxonomy code for Dr. Bourdeau?
The primary taxonomy code is 122300000X – Dentist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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- Peter Marana DDS PC711 E 7TH Ave
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- Norway Dental PC800 S Case St