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DR. CAROLINE BISSONNETTE DMD
NPI 1063933794
Dentist - Oral and Maxillofacial Pathology in Montreal, QUEBEC

Active since July 03, 2017PECOS Enrolled
12365 RUE CREVIER, MONTREAL, QUEBEC H4K1R(614) 620-7918 Get Directions Write a Review

NPPES record last updated: June 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 27, 2020, Jul 3, 2017 (2 updates tracked since 2017).

About Dr. Caroline Bissonnette Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CAROLINE BISSONNETTE DMD (NPI 1063933794) is an individual oral and maxillofacial pathology provider in Montreal, QUEBEC, licensed in Ohio (RES.003810) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063933794
Entity TypeIndividualFemale
Primary Taxonomy1223P0106X
Provider Legal NameDR. CAROLINE BISSONNETTECredential: DMD
Location Address12365 RUE CREVIERMontreal, QUEBEC H4K1R3
Mailing Address12365 Rue CrevierMontreal, QUEBEC H4K1R3
Phone(614) 620-7918
Sole ProprietorNo
Enumeration DateJuly 3, 2017
Last NPPES UpdateJune 28, 20222 updates tracked since enumeration
NPPES CertifiedJune 28, 2022
✔ NPI 1063933794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in OH · RES.003810
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
12365 RUE CREVIER, Montreal, QUEBEC H4K1R
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Caroline Bissonnette Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caroline Bissonnette's NPI number?

The NPI number for Caroline Bissonnette is 1063933794. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Caroline Bissonnette located?

Caroline Bissonnette practices at 12365 Rue Crevier, Montreal, QUEBEC H4K1R. The listed phone number is (614) 620-7918.

What is Caroline Bissonnette's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is Caroline Bissonnette enrolled in Medicare?

Yes. Caroline Bissonnette is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Caroline Bissonnette was last updated on June 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.