Jan M. Bohonek, D.D.S.
Individual provider Active NPI General Practice Dentistry · Strongsville, OH
NPI 1972736346 · NPPES record last updated Sep 1, 2009
Key facts
- NPI
- 1972736346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 30.018311 (OH)
- Practice address
- 11351 Pearl Rd
Suite 302
Strongsville, OH 44136-3331 - Phone
- (440) 846-8833
- Fax
- (440) 846-8920
- NPI assigned
- Sep 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30.018311 | OH | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30.018311 | OH | Yes |
Addresses
Primary practice location
11351 Pearl Rd
Suite 302
Strongsville, OH 44136-3331
Mailing address
11351 Pearl Rd
Suite 302
Strongsville, OH 44136-3331
Phone (440) 846-8833
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OHIO 18311 | Other | OH | OHIO (SHORT VERSION OF OHIO DENTAL LICENSE NUMBER) |
Other providers in Strongsville, OH
- Bradley A Blackburn
- Danielle Lorinda Blase
- Samantha Blashinsky
- Thomas Gregory Blatnik
- Carrie Lynn Blum
- Steve Bolden
- Michelle Bolger
- Therese M Bonamer
- Teodora T Bonney
- Judith Melissa Bordeaux
All providers in Strongsville, OH · General Practice Dentistry in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.