NPI 1881829752 · live from the CMS NPI Registry
Peter N Bougas
Dentist, Orthodontics and Dentofacial Orthopedics in Snellville, GA. National Provider Identifier 1881829752, active.
NPI record
| NPI | 1881829752 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2381 Main St E Ste A, Snellville, GA 30078 |
| Practice phone | 770-979-5300 |
| Enumerated | May 21, 2009 |
| Last updated | May 21, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 9333 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.