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DR. GARY MICHAEL BOURGEOIS DDS
NPI 1629260773
Dentist - General Practice in El Paso, TX

Active since August 13, 2007
1071 COUNTRY CLUB RD, SUITE Q, EL PASO, TX 79932(915) 581-0171 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary Michael Bourgeois Dds NPPES

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

DR. GARY MICHAEL BOURGEOIS DDS (NPI 1629260773) is an individual general practice provider in El Paso, Texas, licensed in Texas (0018214) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1629260773
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. GARY MICHAEL BOURGEOISCredential: DDS
Location Address1071 COUNTRY CLUB RD, SUITE QEl Paso, TX 79932-3173
Mailing Address1071 Country Club Rd, Suite QEl Paso, TX 79932-3173 · (915) 581-0171
Phone(915) 581-0171
Sole ProprietorYes
Enumeration DateAugust 13, 2007
✔ NPI 1629260773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 0018214
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1071 COUNTRY CLUB RD, El Paso, TX 79932
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Other Identifiers 1

Medicaid4789TX

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID LEDESMA OT
Occupational Therapist
1071 COUNTRY CLUB RD, SUITE F
EL PASO, TX 79932
El Paso County (915) 592-0023

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 Gary Bourgeois's NPI number?

The NPI number for Gary Bourgeois is 1629260773. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Gary Bourgeois located?

Gary Bourgeois practices at 1071 Country Club Rd Suite Q, El Paso, TX 79932. The listed phone number is (915) 581-0171.

What is Gary Bourgeois's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gary Bourgeois was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.