| Bonita Endodontic Associates, Pllc | |
|
8899 Timberwilde Dr Ste 3 Bonita Springs FL 34135-7896 | |
| (239) 498-7668 | |
| (239) 498-7630 |
| Full Name | Bonita Endodontic Associates, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 8899 Timberwilde Dr Ste 3, Bonita Springs, Florida |
| Authorized Official Name and Position | Nathan C. Dewsnup (MEMBER) |
| Authorized Official Contact | 2394987668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonita Endodontic Associates, Pllc 8899 Timberwilde Dr Ste 3 Bonita Springs FL 34135-7896 Ph: (239) 498-7668 | Bonita Endodontic Associates, Pllc 8899 Timberwilde Dr Ste 3 Bonita Springs FL 34135-7896 Ph: (239) 498-7668 |
| NPI Number | 1801595210 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 02/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801595210 | NPI | - | NPPES |
| DN16186 | Other | FL | FLORIDA BOARD OF DENTISTRY |
| DN22368 | Other | FL | FLORIDA BOARD OF DENTISTRY |
| DN21501 | Other | FL | FLORIDA BOARD OF DENTISTRY |
| DN27423 | Other | FL | FLORIDA BOARD OF DENTISTRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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