Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Sidney Lawrence Bourgeois Jr., DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1629071154

Dr. Sidney Lawrence Bourgeois Jr., DDS is an Oral and Maxillofacial Surgery (Dentist) in Syracuse, New York. Works from 3 locations. Licensed in New York and Texas.

Licensed in
NY, TX
In the registry since
2005
Specialties on file
4
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

800 Irving Avenue (160)
Syracuse, NY 13210
Phone: (315) 425-2468
Fax: (315) 425-4415
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Syracuse Oral And Maxillofacial Surgery, Fayetteville, NY 13066 — (315) 637-4476
  • Syracuse Oral And Maxillofacial Surgery, Oneida, NY 13421 — (315) 363-8233

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 056936 (NY)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 22617 (TX)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 056936 (NY)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 22617 (TX)

Record details

NPI number1629071154
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 30, 2005
Last updated in NPPESJuly 28, 2021
Certification dateJuly 3, 2021

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