Doctor profile · Federal record

Dr. Jonathan Bolesta, DMD

Orthodontics and Dentofacial Orthopedic Dentist · Glendale, AZ

  • NPI 1164616405
  • 19 yrs on file
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
5940 W Union Hills Dr, B190
Glendale, AZ 853081308
(623) 455-5717

Credentials & registration

NPPES · NUCC
NPI registered
August 2007 — 19 yrs on file
Profile last updated
February 21, 2011
Specialty taxonomy
1223X0400X — NUCC code
State license (1)
Arizona #7387

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1164616405. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$2,388
Transactions
8
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
A-dec, Inc. 4 $2,340.00
American Orthodontics Corporation 3 $35.34
World Class Technology Corporation 1 $13.13

By nature of payment

Gift
$2,340
Food and Beverage
$48

Frequently asked questions

Auto-generated from federal data
What is Dr. Jonathan Bolesta's medical specialty?
Dr. Jonathan Bolesta practices Orthodontics and Dentofacial Orthopedic Dentist in Glendale, AZ.
Where does Dr. Jonathan Bolesta practice?
Dr. Jonathan Bolesta practices at 5940 W Union Hills Dr, Glendale, AZ 853081308. Office phone: 6234555717.
What is Dr. Jonathan Bolesta's NPI?
Dr. Jonathan Bolesta's National Provider Identifier (NPI) is 1164616405, issued by NPPES.