DR. WALTER BERGE BUSSE DDS
NPI 1386748663
Dentist - Oral and Maxillofacial Surgery in South Holland, IL

Active since September 08, 2006
536 E 162ND STREET, SOUTH HOLLAND, IL 60473(708) 331-2322(708) 596-3128 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Walter Berge Busse Dds NPPES

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

DR. WALTER BERGE BUSSE DDS (NPI 1386748663) is an individual oral and maxillofacial surgery provider in South Holland, Illinois and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1386748663
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. WALTER BERGE BUSSECredential: DDS
Location Address536 E 162ND STREETSouth Holland, IL 60473
Mailing Address536 E 162nd StreetSouth Holland, IL 60473 · (708) 331-2322 · Fax (708) 596-3128
Fax(708) 596-3128
Sole ProprietorNo
Enumeration DateSeptember 8, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1386748663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
536 E 162ND STREET, South Holland, IL 60473

Other Identifiers 2

Medicare UPIN603950
Medicare ID-Type UnspecifiedL19900IL

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 Walter Busse's NPI number?

The NPI number for Walter Busse is 1386748663. It was assigned to this individual provider in the NPPES registry on September 8, 2006.

Where is Walter Busse located?

Walter Busse practices at 536 E 162nd Street, South Holland, IL 60473. The listed phone number is (708) 331-2322.

What is Walter Busse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Walter Busse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.