John Charles Bolen, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI01462900 Issued in NJ

Practice address

200 N Harrison St
Princeton, NJ 08540-3507

Phone

(609) 497-9006

Fax

(609) 921-4175

NPI assigned

Sep 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669570727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HERITAGE WAY",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085025822",
            "telephone_number": "908-874-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N HARRISON ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403507",
            "telephone_number": "609-497-9006",
            "fax_number": "609-921-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "JOHN",
        "middle_name": "CHARLES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI01462900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Bland, LCSW
• Thomas R Blom, M.D.
• Blossom Wellness, LLC
• Amanda Blum, PT
• Carol Blum, PSY.D.
• Samantha Bombel, LCSW
• Michael Bonacci, M.S., L.AC.
• Jamie Bonat
• Julie Tolmie Bond, LMFT
• Anthony Jake Boniello, M.D.

• General Practice Dentistry in Princeton, NJ
• Providers in Princeton, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.