| Sviatoslav Bouz Dds | |
|
9493 David Smith Ln Ooltewah TN 37363-7292 | |
| (909) 855-6942 | |
| Not Available |
| Full Name | Sviatoslav Bouz Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9493 David Smith Ln, Ooltewah, Tennessee |
| Authorized Official Name and Position | Sviatoslav Bouz (DENTIST) |
| Authorized Official Contact | 9098556942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sviatoslav Bouz Dds 3535 Windsor Cir Ne Cleveland TN 37312-5153 Ph: (909) 855-6942 | Sviatoslav Bouz Dds 9493 David Smith Ln Ooltewah TN 37363-7292 Ph: (909) 855-6942 |
| NPI Number | 1043185648 |
|---|---|
| Provider Enumeration Date | 10/06/2025 |
| Last Update Date | 10/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043185648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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