Thomas Brian Bozeman in Santa Rosa - Endodontics
Thomas Brian Bozeman - NPI 1376638288
Thomas Brian Bozeman is a Endodontics in Santa Rosa, California. Thomas Brian Bozeman practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Thomas Brian Bozeman is 1376638288. The last update date is 2011-06-17.
Thomas Brian Bozeman's current location address is 1820 Sonoma Ave Ste 110, Santa Rosa, California. You can contact this provider via phone number 7075462887 and fax number 7075462847. The mailing address for Thomas Brian Bozeman is 1820 Sonoma Ave Ste 110, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Brian Bozeman |
|---|---|
| Address | 1820 Sonoma Ave Ste 110, Santa Rosa, California |
| Phone Number | 7075462887 |
| Fax Number | 7075462847 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1376638288 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2011-06-17 |
Provider Mailing Address Detail
| Address | 1820 Sonoma Ave Ste 110 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954056617 |
| Phone Number | 7075462887 |
| Fax Number | 7075462847 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 53688 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique 10-digit identification code assigned to Thomas Brian Bozeman by the Centers for Medicare & Medicaid Services?
The Thomas Brian Bozeman has been issued the NPI (National Provider Identifier) 1376638288, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Thomas Brian Bozeman's physical address?
The Thomas Brian Bozeman is physically located at 1820 Sonoma Ave Ste 110, in the city of Santa Rosa, CA, with the postal code 954056617.
What is Thomas Brian Bozeman's area of expertise and its corresponding taxonomy classification?
The Thomas Brian Bozeman's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1376638288 to Thomas Brian Bozeman?
The Centers for Medicare & Medicaid Services assigned the 1376638288 to Thomas Brian Bozeman on 2006-10-04.
When was the Thomas Brian Bozeman's information last updated?
The Thomas Brian Bozeman's information was last updated on 2011-06-17.