Provider Demographics
NPI:1740890490
Name:BC DENTAL PLLC
Entity type:Organization
Organization Name:BC DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS / PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BOJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOJOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-501-1223
Mailing Address - Street 1:105 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015-3264
Mailing Address - Country:US
Mailing Address - Phone:269-964-3957
Mailing Address - Fax:269-962-2402
Practice Address - Street 1:601 S SHORE DR UNIT 225
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-5440
Practice Address - Country:US
Practice Address - Phone:269-964-7557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty