Dr Anthony Oliver Bonacorsi, D,D,S, | |
80 Phoenix Ave, Waterbury, CT 06702-1418 | |
(203) 756-8021 | |
(203) 596-9038 |
Full Name | Dr Anthony Oliver Bonacorsi |
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Gender | Male |
Speciality | Dentist - General Practice |
Location | 80 Phoenix Ave, Waterbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437360039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 003859 (Connecticut) | Primary |
Entity Name | Staywell Health Care Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154342335 PECOS PAC ID: 6305750480 Enrollment ID: O20031113000374 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Oliver Bonacorsi, D,D,S, 1302 S Main St, Waterbury, CT 06706-1748 Ph: (203) 597-9044 | Dr Anthony Oliver Bonacorsi, D,D,S, 80 Phoenix Ave, Waterbury, CT 06702-1418 Ph: (203) 756-8021 |
Dr. Thomas F. Mccarthy Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 134 Grandview Ave, Suite 102, Waterbury, CT 06708 Phone: 203-756-2207 Fax: 203-756-2207 | |
Saranya Sakhamuri, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 135 Bank St, Waterbury, CT 06702 Phone: 203-393-5505 | |
Srilatha Dosapati, Dentist Medicare: Medicare Enrolled Practice Location: 155 Thomaston Ave, Waterbury, CT 06702 Phone: 203-575-9944 | |
Dr. Joseph Statkevich, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 80 Phoenix Ave, Suite 202, Waterbury, CT 06702 Phone: 203-574-3343 Fax: 203-574-5488 | |
Dr. Maitry Parekh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 146 Highland Ave Ste 1, Waterbury, CT 06708 Phone: 203-527-4614 | |
Suzanna Kia, DMD Dentist Medicare: Medicare Enrolled Practice Location: 188 Chase Ave, Waterbury, CT 06704 Phone: 203-754-3818 | |
Dr. Cheryl Sobieraj Wadhwa, DDS Dentist Medicare: Medicare Enrolled Practice Location: 650 Chase Parkway, Waterbury, CT 06708 Phone: 203-597-8878 Fax: 203-597-9722 |