Individual provider · Type 1 NPI
William B. Bohannan, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Burlingame, CA
NPI number
1013077239
Active
Practice location
1750 El Camino Real, Suite 403
Burlingame, CA 94010-3228
Fax (650) 692-2655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | A64471 (CA) |
Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1013077239
William B. Bohannan, DDS, MD's National Provider Identifier is 1013077239, issued on Dec 11, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Burlingame, CA. The record was last updated on Apr 5, 2024.