Gerard F Koorbusch
Oral and Maxillofacial Surgeon
1140 W Capitol Ave
Bismarck
, North Dakota 58501-9956
Gerard F Koorbusch
Oral and Maxillofacial Surgeon
1140 W Capitol Ave
Bismarck
, North Dakota 58501-9956
(701) 222-2329
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Gerard F Koorbusch
- 1140 W Capitol Ave
- Bismarck, ND
- Zip : 58501-9956
- Fax : (701) 222-2329
- Phone : (701) 258-7220
Second Address
- Gerard F Koorbusch
- 1140 W Capitol Ave
- Bismarck, ND
- Zip : 58501-9956
- Fax : (701) 222-2329
- Phone : (701) 258-7220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 1818 | ND |
National Provider Identifier
| NPI | 1003859224 |
|---|---|
| Provider Name | Gerard F Koorbusch |
| First Address | Bismarck, ND 58501-9956 |
| Second Address | Bismarck, ND 58501-9956 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2006 |
| Last Update Date | 14/12/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1818 | DENTAL LICENSE (01) | ND |
| 41121 | (05) | ND |
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.