Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN MICHAEL BOZANICH, DDS, MS
ActiveJOHN MICHAEL BOZANICH, DDS, MS is a Periodontology healthcare provider located in SANTA ROSA, California. NPI 1629362363 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SANTA ROSA, CA
Registration Details
- NPI Number
- 1629362363
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 29, 2011 (15.173106798275 yrs)
- Last Updated
- Jan 12, 2023
- Licenses
-
26498 (TX)103783 (CA)
Practice Information
- Address
-
2305 MENDOCINO AVESANTA ROSA, CA, 954033157Browse CA providers · Browse ZIP 95403
- Phone
- 7075251500
- Fax
- 7075250315
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| GARY GRILL | DDS | 1518996099 |
| DR. CHRISTINE FORD | D.D.S | 1720174592 |
| JUSTIN GEE | DMD | 1619049012 |
| DR. JAY UEMURA | D.D.S. | 1801958558 |
| PAUL JAMES STEIGERWALD | D.D.S. | 1013047497 |
| DR. RICHARD STEPHEN JENDERSECK | D.D.S | 1881812766 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.