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JERRY BOSTRE
NPI 1629474572
Dental Hygienist in Los Angeles, CA

Active since November 04, 2014
1127 WILSHIRE BLVD STE 1504, LOS ANGELES, CA 90017(213) 201-1388(213) 201-1398 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry Bostre NPPES

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

JERRY BOSTRE (NPI 1629474572) is an individual dental hygienist in Los Angeles, California, licensed in California (5044) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1629474572
Entity TypeIndividualMale
Primary Taxonomy124Q00000X
Provider Legal NameJERRY BOSTRE
Location Address1127 WILSHIRE BLVD STE 1504Los Angeles, CA 90017-4006
Mailing Address1127 Wilshire Blvd Ste 1504Los Angeles, CA 90017-4006 · (213) 201-1388 · Fax (213) 201-1398
Phone(213) 201-1388
Fax(213) 201-1398
Sole ProprietorYes
Enumeration DateNovember 4, 2014
✔ NPI 1629474572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental HygienistDental Providers
Taxonomy Code124Q00000X
License✔ Licensed in CA · 5044
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
1127 WILSHIRE BLVD STE 1504, Los Angeles, CA 90017
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMDEN LAWRENCE WITTENAUER
Student in an Organized Health Care Education/Training Program
1127 WILSHIRE BLVD STE 1504
LOS ANGELES, CA 90017
Los Angeles County (323) 329-9005
DR. FARAH SHAAZ KHAN D.M.D.
Dentist (General Practice)
1127 WILSHIRE BLVD STE 1504
LOS ANGELES, CA 90017
Los Angeles County (213) 201-1388
DOMINIQUE DIAZ
Dental Hygienist
1127 WILSHIRE BLVD STE 1504
LOS ANGELES, CA 90017
Los Angeles County (213) 201-1388
DR. ANGIE PEREZ-CELIS DDS
Dentist (Periodontics)
1127 WILSHIRE BLVD STE 1504
LOS ANGELES, CA 90017
Los Angeles County (213) 201-1388

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 Jerry Bostre's NPI number?

The NPI number for Jerry Bostre is 1629474572. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Where is Jerry Bostre located?

Jerry Bostre practices at 1127 Wilshire Blvd Ste 1504, Los Angeles, CA 90017. The listed phone number is (213) 201-1388.

What is Jerry Bostre's specialty?

The primary specialty registered for this NPI is Dental Hygienist with taxonomy code 124Q00000X.

When was this NPI record last updated?

The NPPES record for Jerry Bostre was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.