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Contact Information

WILLIAM B BOHANNAN, D.D.S., M.D.
1750 EL CAMINO REAL
SUITE 403
BURLINGAME, CA94010-3228
 Phone: 650-692-1530
 Fax: 650-692-2655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type
 

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for WILLIAM B BOHANNAN · (Male)

NPI Number 1013077239
Status Active
Credentials D.D.S., M.D.
Entity Individual
Enumeration date 12/11/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A64471
  • CA License # OMSPERMIT 24
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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