Bozalis, William G

Bozalis, William G is an individual health care provider with primary practice located at 3613 Nw 56Th Suite 105 Three Corporate Plaza, Oklahoma City OK 73112. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Bozalis, William G can be contacted via phone (405) 946-2455.

Contact Information

Primary practice address
3613 Nw 56Th Suite 105 Three Corporate Plaza Oklahoma City OK 73112
Phone: (405) 946-2455
Fax: (405) 946-3445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 3672 Oklahoma

Profile Details

NPI number 1720063225
LBN Legal business name Bozalis, William G
Credentials DDS MS PC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720063225 NPPES
Oklahoma Other 446465286001 BLUE CROSS BLUE SHIELD

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