Dr. George C Bohle III
Prosthodontist Oral and Maxillofacial Surgeon
4517 Memorial Cir
Oklahoma City
, Oklahoma 73142-5006
Dr. George C Bohle III
Prosthodontist Oral and Maxillofacial Surgeon
4517 Memorial Cir
Oklahoma City
, Oklahoma 73142-5006
(405) 755-7169
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About
Features
Specialties
- Prosthodontist
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. George C Bohle III
- 4517 Memorial Cir
- Oklahoma City, OK
- Zip : 73142-5006
- Fax : (405) 755-7169
- Phone : (405) 755-7777
Second Address
- Dr. George C Bohle III
- 4517 Memorial Cir
- Oklahoma City, OK
- Zip : 73142-5006
- Fax : (405) 755-7169
- Phone : (405) 755-7777
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223P0700X | Prosthodontist | 33 | OK |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 48870 | NY |
National Provider Identifier
| NPI | 1124003744 |
|---|---|
| Provider Name | Dr. George C Bohle III |
| First Address | Oklahoma City, OK 73142-5006 |
| Second Address | Oklahoma City, OK 73142-5006 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/12/2005 |
| Last Update Date | 11/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| U91634 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.