person
Mr. William G Bozalis, DDSMSPC
Pediatric Dentist in Oklahoma City, Oklahoma
NPI 1720063225

William G Bozalis is a Pediatric Dentist based in Oklahoma City, OK and is specialized in Pediatric Dentistry. William G Bozalis practices in Oklahoma City, OK and has the professional credentials of DDSMSPC. The NPI Number for William G Bozalis is 1720063225 and holds a License No. 3672 (Oklahoma).

The current practice location address for William G Bozalis is 3613 Nw 56Th, Oklahoma City, OK and can be reached out via phone at 405-946-2455 and via fax at 405-946-3445. You can also correspond with William G Bozalis through the mailing address at 3613 NW 56TH, OKLAHOMA CITY, OK - 73112 (mailing address contact number: 405-946-2455).

Location: 3613 Nw 56Th, Oklahoma City, OK, 73112
person
Provider Profile Details
NPI Number
1720063225
Provider Name
William G Bozalis
Credential
DDSMSPC
Provider Entity Type
Individual
Gender
Male
Address
3613 Nw 56Th, Oklahoma City, OK, 73112
Phone Number
405-946-2455
Fax Number
405-946-3445
Provider Enumeration Date
12/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
446465286001 01 OK BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3613 Nw 56Th
City
State
Zip
73112
Phone Number
405-946-2455
Fax Number
405-946-3445
person
Provider Business Mailing Address Details
Address
3613 Nw 56Th
City
State
Zip
73112
Phone Number
405-946-2455
Fax Number
405-946-3445
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
3672 (Oklahoma)
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.
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