IndividualActive
Bryan Bouchelion, DDS
NPI 1801966478 · Oral and Maxillofacial Surgery (Dentist) · Orland Park, IL
Provider details
- NPI number
- 1801966478
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 021002012 (IL)
Specialties & taxonomies
Dental Providers
Practice location
10713 W 159th St
Orland Park, IL 60467
Phone: (708) 301-5000
Fax: (708) 403-8966
Approximate (ZIP-level) locationGet directions
Mailing address
10713 W 159th St
Orland Park, IL 60467-4531
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2026-05-22
- Certified
- 2026-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.