JOHN MICHAEL BOZANICH DDS MS NPI 1629362363

NPI Information

John Michael Bozanich, DDS, MS is a periodontics dentist in Santa Rosa, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. John Michael Bozanich, DDS, MS NPI is 1629362363. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2305 MENDOCINO AVE
SANTA ROSA, CA
ZIP 95403-157
Phone: (707) 525-1500
Fax: (707) 525-0315

The enumeration date for this NPI number is 5/29/2011 and was last updated on 1/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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