Provider Demographics
NPI:1316573694
Name:JOEL GARCIA BOSS DMD P.A
Entity Type:Organization
Organization Name:JOEL GARCIA BOSS DMD P.A
Other - Org Name:JGBOSS DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA BOSS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:941-741-8888
Mailing Address - Street 1:1521 MELLON WAY
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-2943
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8441 HERITAGE GREEN WAY
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34212-1400
Practice Address - Country:US
Practice Address - Phone:941-405-3367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental