Bozanich, John Michael
Bozanich, John Michael is an individual health care provider with primary practice located at 2305 Mendocino Ave , Santa Rosa CA 95403-3157. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bozanich, John Michael can be contacted via phone (707) 525-1500.Contact Information
Primary practice address
2305 Mendocino Ave
Santa Rosa CA 95403-3157
Phone: (707) 525-1500
Fax: (707) 525-0315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 26498 | Texas |
| Dental Providers / Periodontics | 1223P0300X | 103783 | California |
Profile Details
| NPI number | 1629362363 |
|---|---|
| LBN Legal business name | Bozanich, John Michael |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2011 |
| Last updated | Jan 12th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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