Individual provider · Type 1 NPI

Mark A. Bouchillon, DDS

Dentist · Warren, MI

NPI number 1023109972 Active

Practice location

13403 13 Mile Rd
Warren, MI 48088

Fax (586) 979-2720

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X2901013126 (MI)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1023109972

Mark A. Bouchillon, DDS's National Provider Identifier is 1023109972, issued on Sep 27, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Warren, MI. The record was last updated on Jul 8, 2007.