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

Individual provider Periodontics · NPI 1629362363

John Michael Bozanich, DDS, MS is a Periodontics in Santa Rosa, California. Licensed in California and Texas. Registered with an NPI since 2011.

Licensed in
CA, TX
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2305 Mendocino Ave
Santa Rosa, CA 95403-3157
Phone: (707) 525-1500
Fax: (707) 525-0315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 103783 (CA)
Periodontics Taxonomy 1223P0300X · Licence 26498 (TX)

Record details

NPI number1629362363
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorNo
NPI enumeratedMay 29, 2011
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023
Mailing address1822 Sherwood Ct, Santa Rosa, CA 95405-4660

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