William G Bozalis in Oklahoma City - Pediatric Dentistry
William G Bozalis - NPI 1720063225
William G Bozalis is a Pediatric Dentistry in Oklahoma City, Oklahoma. William G Bozalis practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for William G Bozalis is 1720063225. The last update date is 2007-07-08.
William G Bozalis's current location address is 3613 Nw 56th, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059462455 and fax number 4059463445. The mailing address for William G Bozalis is 3613 Nw 56th, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William G Bozalis |
|---|---|
| Address | 3613 Nw 56th, Oklahoma City, Oklahoma |
| Phone Number | 4059462455 |
| Fax Number | 4059463445 |
| Sole Proprietor | X |
| Credentials | DDS MS PC |
NPI Number Detail
| NPI Number | 1720063225 |
|---|---|
| Provider Enumeration Date | 2005-12-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3613 Nw 56th |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 73112 |
| Phone Number | 4059462455 |
| Fax Number | 4059463445 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3672 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 446465286001 | OK | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to William G Bozalis by the Centers for Medicare & Medicaid Services?
The William G Bozalis has been assigned the NPI (National Provider Identifier) 1720063225. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where William G Bozalis is physically located?
The William G Bozalis is situated at the following address: 3613 Nw 56Th, Oklahoma City, OK 73112.
What is the William G Bozalis's area of specialization and corresponding taxonomy classification?
The William G Bozalis's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720063225 to William G Bozalis?
The Centers for Medicare & Medicaid Services originally issued the 1720063225 to William G Bozalis on 2005-12-07.
As of what date were the details related to William G Bozalis most recently updated or revised?
The information pertaining to William G Bozalis, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1528061793
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