Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bohannan Dental Corporation

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1558422725

Bohannan Dental Corporation is an Oral and Maxillofacial Surgery Clinic/Center in San Jose, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

2025 Forest Ave Ste 6
San Jose, CA 95128-4806
Phone: (408) 286-1553
Fax: (408) 286-8511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence A66471 (CA)

Record details

NPI number1558422725
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Bohannan — Owner President · (408) 286-1553
Other names William B. Bohannan Dds, Md
NPI enumeratedDecember 12, 2006
Last updated in NPPESAugust 22, 2020
Mailing address2025 Forest Ave, Suite 6, San Jose, CA 95128-4806

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