Provider Demographics
NPI:1245398973
Name:BOSSE, LOUIS PHILIPPE (DMD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS PHILIPPE
Middle Name:
Last Name:BOSSE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12523 GREENSPOINT DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060
Mailing Address - Country:US
Mailing Address - Phone:281-876-2278
Mailing Address - Fax:281-876-4005
Practice Address - Street 1:12523 GREENSPOINT DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060
Practice Address - Country:US
Practice Address - Phone:281-876-2278
Practice Address - Fax:281-876-4005
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188511223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics