John S Bostic, D.D.S.

Individual provider Active NPI General Practice Dentistry · Brookpark, OH

NPI 1700865425 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1700865425
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
15729 (OH)
Practice address
14401 Snow Rd
Suite 103
Brookpark, OH 44142-2583
Phone
(216) 676-4050
Fax
(216) 676-4051
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Above and Beyond Dental , LLC General Practice Past
since Apr 6, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15729 OH Yes

Addresses

Primary practice location

14401 Snow Rd
Suite 103
Brookpark, OH 44142-2583

Mailing address

14401 Snow Rd
Suite 103
Brookpark, OH 44142-2583
Phone (216) 676-4050

Other providers in Brookpark, OH

All providers in Brookpark, OH · General Practice Dentistry in Ohio

Sources for this page

Verify at the official NPI Registry.