John E. Bosak, Jr., DMD, a Professional Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

JOHN E. BOSAK, JR., DMD, A PROFESSIONAL DENTAL CORPORATION

Practice address

10727 White Oak Ave
Suite 213
Granada Hills, CA 91344-4631

Phone

(818) 368-5676

NPI assigned

May 28, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John Eugene Bosak Jr., DMD

Title

President

Phone

(818) 368-5676

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1194162446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10727 WHITE OAK AVE",
            "address_2": "SUITE 213",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444631",
            "telephone_number": "818-368-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10727 WHITE OAK AVE",
            "address_2": "SUITE 213",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444631",
            "telephone_number": "818-368-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E. BOSAK, JR., DMD, A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "BOSAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-368-5676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vardui Jingozian, LMFT
• Jinky Encarnacion Sacaguing, D.D.S. Inc.
• JMJS LLC
• Michelle Sehee Jo, L.AC.
• Roger W.K. Joe, D.D.S.
• Stephanie Johnwell
• Ashley Jordan, BA
• Denee Lynn Jordan, PSYD
• JPM Elite Medical Clinic Inc
• Daniela Isabella Juarez

• Dentist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.