Individual provider · Type 1 NPI
Michael Bashoura, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Olathe, KS
NPI number
1801316435
Active
Practice location
20168 W 153rd St
Olathe, KS 66062-9131
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 62076 (KS) |
| Dentist | 122300000X | 2017019368 (MO) |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 2017019368 (MO) |
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.
4 other providers at this address
Other oral and maxillofacial surgery (dentist) providers in Olathe
About NPI 1801316435
Michael Bashoura, DDS, MD's National Provider Identifier is 1801316435, issued on Jun 24, 2017. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Olathe, KS. The record was last updated on Aug 22, 2025.