Bohannan Dental Corporation in San Jose - Oral And Maxillofacial Surgery
Bohannan Dental Corporation - NPI 1558422725
Bohannan Dental Corporation is a Oral And Maxillofacial Surgery in San Jose, California. Bohannan Dental Corporation practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Bohannan Dental Corporation is 1558422725. The last update date is 2020-08-22.
Bohannan Dental Corporation's current location address is 2025 Forest Ave, San Jose, California. You can contact this provider via phone number 4082861553 and fax number 4082868511. The mailing address for Bohannan Dental Corporation is 2025 Forest Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bohannan Dental Corporation |
|---|---|
| Address | 2025 Forest Ave, San Jose, California |
| Phone Number | 4082861553 |
| Fax Number | 4082868511 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Bohannan B William |
| Credentials | D.D.S., M. |
| Telephone Number | 4082861553 |
NPI Number Detail
| NPI Number | 1558422725 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2025 Forest Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951284806 |
| Phone Number | 4082861553 |
| Fax Number | 4082868511 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 261Qs0112X |
| Licence No | A66471 |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique identifier code issued to Bohannan Dental Corporation by the Centers for Medicare & Medicaid Services?
The Bohannan Dental Corporation has been assigned the NPI (National Provider Identifier) 1558422725. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Bohannan Dental Corporation located?
The Bohannan Dental Corporation is located at 2025 Forest Ave, San Jose, CA 951284806.
What is the Bohannan Dental Corporation's area of specialization and corresponding taxonomy classification?
The Bohannan Dental Corporation's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 261Qs0112X, which categorizes healthcare providers based on their specialties.
On what date did the Bohannan Dental Corporation receive its 1558422725 assignment from the Centers for Medicare & Medicaid Services?
The Bohannan Dental Corporation was assigned its 1558422725 by the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date were the details pertaining to Bohannan Dental Corporation last refreshed?
The information related to the Bohannan Dental Corporation, including its address, specialty, and other relevant details, was last updated on 2020-08-22.