Individual provider · Type 1 NPI
Walter Berge Busse, DDS
Oral and Maxillofacial Surgery (Dentist) · South Holland, IL
NPI number
1386748663
Active
Practice location
536 E 162nd Street
South Holland, IL 60473
Fax (708) 596-3128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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.
About NPI 1386748663
Walter Berge Busse, DDS's National Provider Identifier is 1386748663, issued on Sep 8, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in South Holland, IL. The record was last updated on Jul 8, 2007.