- Practice location
- 123 Dwight RD, Longmeadow, MA 01106-1748
- Phone
- 413-567-7735
- Fax
- 413-565-2579
- Last updated
- May 21, 2008
Andrew Bonavita Dmdpc is a healthcare organization based in Longmeadow, MA. Andrew Bonavita Dmdpc practices in Longmeadow, MA. The NPI Number for Andrew Bonavita Dmdpc is 1780841213 and holds a License No. 17903 (MA). The current practice location address for Andrew Bonavita Dmdpc is 123 Dwight RD, Longmeadow, MA 01106-1748 and can be reached out via phone at 413-567-7735 and via fax at 413-565-2579.
Provider Profile Details
- NPI Number
- 1780841213
- Provider Name
- Andrew Bonavita Dmdpc
- Provider Entity Type
- Organization
- Address
- 123 Dwight RD, Longmeadow, MA 01106-1748
- Phone Number
- 413-567-7735
- Fax Number
- 413-565-2579
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Andrew O Bonavita, DMD · President · 413-567-7735
- Provider Enumeration Date
- May 21, 2008
- Last Update Date
- May 21, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 123 Dwight RD
Longmeadow, MA 01106-1748 - City
- Longmeadow
- State
- Massachusetts
- Zip
- 01106-1748
- Phone Number
- 413-567-7735
- Fax Number
- 413-565-2579
Provider Business Mailing Address Details
- Address
- 123 Dwight RD
Longmeadow, MA 01106-1748 - City
- Longmeadow
- State
- MA
- Zip
- 01106-1748
- Phone Number
- 413-567-7735
- Fax Number
- 413-565-2579
License Information
- License Number
- 17903
- License State
- MA
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Andrew Bonavita Dmdpc?
The NPI number of Andrew Bonavita Dmdpc is 1780841213. It was assigned on May 21, 2008 and is currently active in the NPPES registry.
What is the specialty of Andrew Bonavita Dmdpc?
Andrew Bonavita Dmdpc is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number 17903.
Where does Andrew Bonavita Dmdpc practice?
The practice location is 123 Dwight RD, Longmeadow, MA 01106-1748. The office can be reached at 413-567-7735 (phone) or 413-565-2579 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1780841213 directly on the NPPES registry website.