# SVIATOSLAV BOUZ DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043185648
- **Authorized official:** DR. SVIATOSLAV BOUZ DDS (DENTIST)
- **Authorized official phone:** (909) 855-6942

## Contact information

- **Practice address:** 9493 DAVID SMITH LN, OOLTEWAH, TN 37363-7292
- **Practice address phone:** (909) 855-6942
- **Mailing address:** 3535 WINDSOR CIR NE, CLEVELAND, TN 37312-5153
- **Mailing address phone:** (909) 855-6942

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/06/2025
- **Last updated:** 10/06/2025