Individual provider · Type 1 NPI
Matthew Edward Bourg, DMD
Dentist · Portland, OR
Practice location
17236 SE Stark St
Portland, OR 97233-4546
Fax (503) 254-1494
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | D6261 (OR) |
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 1902994312
Matthew Edward Bourg, DMD's National Provider Identifier is 1902994312, issued on Oct 11, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.