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Dr. Dominique Bonner, DDS
Dentist in Fairfax, Virginia
NPI 1003270612

Dominique Bonner is a Dentist based in Fairfax, VA. Dominique Bonner practices in Fairfax, VA and has the professional credentials of DDS. The NPI Number for Dominique Bonner is 1003270612 and holds a License No. 16313 (Virginia).

The current practice location address for Dominique Bonner is 9547A Fairfax Blvd, Fairfax, VA and can be reached out via phone at 703-520-9985.

Location: 9547A Fairfax Blvd, Fairfax, VA, 22031-4740
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003270612
Provider Name
Dominique Bonner
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
9547A Fairfax Blvd, Fairfax, VA, 22031-4740
Phone Number
703-520-9985
Fax Number
Provider Enumeration Date
04/09/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019031088 01 IL IL DENTAL LICENSE #
0401415681 01 VA VA DENTAL LICENSE #
16313 01 MD MD DENTAL LICENSE #
institution
Provider Business Practice Location Address Details
Address
9547A Fairfax Blvd
City
Fairfax
State
Virginia
Zip
22031-4740
Phone Number
703-520-9985
Fax Number
person
Provider Business Mailing Address Details
Address
9547A Fairfax Blvd
City
Fairfax
State
Virginia
Zip
22031-4740
Phone Number
703-520-9985
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
16313 (Maryland)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
16313 (Maryland)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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