Organization · Type 2 NPI
Sviatoslav Bouz DDS
Dental Clinic/Center · Ooltewah, TN
NPI number
1043185648
Active
Practice location
9493 David Smith Ln
Ooltewah, TN 37363-7292
Mailing address
3535 Windsor Cir NE
Cleveland, TN 37312-5153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Ooltewah
About NPI 1043185648
Sviatoslav Bouz DDS's National Provider Identifier is 1043185648, issued on Oct 6, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ooltewah, TN. The record was last updated on Oct 6, 2025.