David R. Bourque, D.D.S. , P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

37469 Issued in NY

Legal business name

DAVID R. BOURQUE, D.D.S. , P.C.

Practice address

6 Doubleday Court
Northern Catskill Dental Associates
Cooperstown, NY 13326-1223

Phone

(607) 547-2313

Fax

(607) 547-6251

NPI assigned

Jun 12, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Robert Bourque, D.D.S.

Title

President

Phone

(716) 693-1971

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1194929596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 WOODLAND CT N",
            "city": "N TONAWANDA",
            "state": "NY",
            "postal_code": "141201153",
            "telephone_number": "716-693-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 DOUBLEDAY COURT",
            "address_2": "NORTHERN CATSKILL DENTAL ASSOCIATES",
            "city": "COOPERSTOWN",
            "state": "NY",
            "postal_code": "133261223",
            "telephone_number": "607-547-2313",
            "fax_number": "607-547-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID R. BOURQUE, D.D.S. , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "BOURQUE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-693-1971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "37469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey D'Amato, PA-C
• James T Dalton, M.D.
• Bruce M Daly, D.P.M
• Muhammad Daniyal
• Samantha K Davenport, M.D.
• Brenda J Davies-Wait, D.O.
• Barbara A Davies, PA-C
• Mary Ann Davis, R.D.
• Cyrus Eric De Souza, MD
• Sydney Leanne Deach, CRNA

• General Practice Dentistry in Cooperstown, NY
• Providers in Cooperstown, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.