Michael M Bouzid, D.D.S.
Individual provider Active NPI General Practice Dentistry · Cupertino, CA
NPI 1225129059 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1225129059
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 43760 (CA)
- Practice address
- 10430 S. de Anz Blvd #120
Cupertino, CA 95014 - Phone
- (408) 253-0153
- Fax
- (408) 253-3551
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael Bouzid, DDS, Inc | Current | Accepting new patients |
Locations
10430 S De Anza Blvd
Ste 120
Cupertino, CA 95014
Phone (408) 253-0153
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 43760 | CA | Yes |
Addresses
Primary practice location
10430 S. de Anz Blvd #120
Cupertino, CA 95014
Mailing address
10430 S. de Anz Blvd #120
Cupertino, CA 95014
Phone (408) 253-0153
Other providers in Cupertino, CA
- Gertrude Anne Bonincontro
- Bonlavie Hospice, Inc. - Cupertino
- Camille M. Borja
- Susan Borkin
- Bounmany Kyle Keojampa, MD
- Sara Ashley Bowling
- Pamela Lynn Boyle
- Cristina Bracamonte
- Shannon Bracy
- Denise Graves Bradley
All providers in Cupertino, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.