Provider Demographics
NPI:1003992561
Name:BHOJANI, JAVED (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAVED
Middle Name:
Last Name:BHOJANI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 ORCHARD RD
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-5013
Mailing Address - Country:US
Mailing Address - Phone:630-882-2996
Mailing Address - Fax:630-516-0246
Practice Address - Street 1:1301 ORCHARD RD
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-5013
Practice Address - Country:US
Practice Address - Phone:630-882-2996
Practice Address - Fax:630-206-2498
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019-0254651223G0001X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No1223G0001XDental ProvidersDentistGeneral Practice