Bozich, John G.
Bozich, John G. is an individual health care provider with primary practice located at 700 Ne Multnomah St Suite 840, Portland OR 97232-2131. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bozich, John G. can be contacted via phone (503) 232-4488.Contact Information
Primary practice address
700 Ne Multnomah St Suite 840
Portland OR 97232-2131
Phone: (503) 232-4488
Fax: (503) 239-4075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D6611 | Oregon |
Profile Details
| NPI number | 1265644306 |
|---|---|
| LBN Legal business name | Bozich, John G. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265644306 | NPPES |
| Oregon | Other | D6611 | STATE OF OREGON DENTAL |
| Oregon | MEDICAID | 159012 | STATE OF OREGON DENTAL |
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