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Dr. Bonnie L Padwa, DMD,MD
Oral and Maxillofacial Surgery (Dentist) in Boston, Massachusetts
NPI 1558351866

Bonnie L Padwa is a Oral and Maxillofacial Surgery (Dentist) based in Boston, MA and is specialized in Oral and Maxillofacial Surgery. Bonnie L Padwa practices in Boston, MA and has the professional credentials of DMD,MD. The NPI Number for Bonnie L Padwa is 1558351866 and holds a License No. 75473 (Massachusetts).

The current practice location address for Bonnie L Padwa is 300 Longwood Ave, Boston, MA and can be reached out via phone at 617-355-6259 and via fax at 617-738-1657. You can also correspond with Bonnie L Padwa through the mailing address at 300 LONGWOOD AVE, BOSTON, MA - 02115-5724 (mailing address contact number: 617-355-6259).

Location: 300 Longwood Ave, Boston, MA, 02115-5724
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Provider Profile Details
NPI Number
1558351866
Provider Name
Bonnie L Padwa
Credential
DMD,MD
Provider Entity Type
Individual
Gender
Female
Address
300 Longwood Ave, Boston, MA, 02115-5724
Phone Number
617-355-6259
Fax Number
617-738-1657
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
J13074 01 MA BCBS MA
730778 01 MA TUFTS HEALTH PLAN
3101207 05 MA
institution
Provider Business Practice Location Address Details
Address
300 Longwood Ave
City
State
Zip
02115-5724
Phone Number
617-355-6259
Fax Number
617-738-1657
person
Provider Business Mailing Address Details
Address
300 Longwood Ave
City
State
Zip
02115-5724
Phone Number
617-355-6259
Fax Number
617-738-1657
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
17008 (Massachusetts)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Oral & Maxillofacial Surgery
Speciality
-
Taxonomy
License No.
75473 (Massachusetts)
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
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