Individual provider · Type 1 NPI
Gregory Charles Bohle, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Centereach, NY
NPI number
1538303243
Active
Practice location
1 Mark Tree Rd
Centereach, NY 11720-2279
Fax (631) 673-6299
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 055610 (NY) |
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.
Another provider at this address
About NPI 1538303243
Gregory Charles Bohle, DDS, MD's National Provider Identifier is 1538303243, issued on Apr 24, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Centereach, NY. The record was last updated on May 15, 2023.