Individual provider · Type 1 NPI

Peter N. Bougas Jr.

Orthodontics and Dentofacial Orthopedics Dentistry · Snellville, GA

NPI number 1881829752 Active

Practice location

2381 Main St E Ste A
Snellville, GA 30078-3358

Fax (770) 978-5928

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X9333 (FL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1881829752

Peter N. Bougas Jr.'s National Provider Identifier is 1881829752, issued on May 21, 2009. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Snellville, GA. The record was last updated on May 21, 2009.