Dr David George Bonfante, DDS is a medicare enrolled "Dentist" provider in Willsboro, New York. His current practice location is
3673 Essex Rd, Suite 2, Willsboro, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 963-7307.
Dr David George Bonfante is licensed to practice in New York (license number 030808) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720015100.
Healthcare Provider's Profile
Full Name | Dr David George Bonfante |
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Gender | Male |
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Speciality | Dentist |
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Location | 3673 Essex Rd, Willsboro, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720015100
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 11/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 2961729090
- Enrollment ID: I20150328000070
Medical Identifiers
Medical identifiers for Dr David George Bonfante such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720015100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 030808 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David George Bonfante is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr David George Bonfante, DDS 3673 Essex Rd, Po Box 310, Willsboro, NY 12996 Ph: (518) 963-7307 | Dr David George Bonfante, DDS 3673 Essex Rd, Suite 2, Willsboro, NY 12996 Ph: (518) 963-7307 |
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