SCOTT CRAIG BOHLKE D.D.S.
NPI 1104258805
Dentist - General Practice in Long Beach, CA

Q: What is Scott Bohlke's NPI number?

The NPI number for Scott Bohlke is 1104258805. It was assigned to this individual provider in the NPPES registry on August 5, 2013.

Q: What is Scott Bohlke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Scott Bohlke was last updated on August 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 05, 2013

5175 E. PACIFIC COAST HWY., SUITE 401, LONG BEACH, CA 90804(562) 597-2461 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Scott Craig Bohlke D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SCOTT CRAIG BOHLKE D.D.S. (NPI 1104258805) is an individual general practice provider in Long Beach, California, licensed in California (31207) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1104258805

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameSCOTT CRAIG BOHLKECredential: D.D.S.

Location Address5175 E. PACIFIC COAST HWY., SUITE 401Long Beach, CA 90804-3313

Mailing Address5175 E. Pacific Coast Hwy., Suite 401Long Beach, CA 90804-3313 · (562) 597-2461

Phone(562) 597-2461

Sole ProprietorYes

Enumeration DateAugust 5, 2013

✔ NPI 1104258805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 31207

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5175 E. PACIFIC COAST HWY., Long Beach, CA 90804

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Bohlke's NPI number?

The NPI number for Scott Bohlke is 1104258805. It was assigned to this individual provider in the NPPES registry on August 5, 2013.

Where is Scott Bohlke located?

Scott Bohlke practices at 5175 E. Pacific Coast Hwy. Suite 401, Long Beach, CA 90804. The listed phone number is (562) 597-2461.

What is Scott Bohlke's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Scott Bohlke was last updated on August 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.