Andrew O Bonavita, DMD
Dentist, General Practice in Longmeadow, Massachusetts
1790890705- Practice location
- 123 Dwight RD, Longmeadow, MA 01106-1748
- Phone
- 413-567-7735
- Fax
- 413-565-2579
- Last updated
- July 8, 2007
Andrew O Bonavita is a Dentist, General Practice based in Longmeadow, MA. Andrew O Bonavita practices in Longmeadow, MA and has the professional credentials of DMD. The NPI Number for Andrew O Bonavita is 1790890705 and holds a License No. 17903 (MA). The current practice location address for Andrew O Bonavita 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
- 1790890705
- Provider Name
- Andrew O Bonavita
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 123 Dwight RD, Longmeadow, MA 01106-1748
- Phone Number
- 413-567-7735
- Fax Number
- 413-565-2579
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 20, 2006
- Last Update Date
- July 8, 2007
- 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, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Longmeadow, MA
View all Dentist, General Practice providers in Longmeadow →- Dr. Chris Smith, DDSDentist, General Practice · NPI 1124241534
- Dr. Derrick F Ziemba, DMDDentist, General Practice · NPI 1245440163
- Dr. Howard Hausman, DDSDentist, General Practice · NPI 1942214424
- Dr. James E Dores, DMDDentist, General Practice · NPI 1982729067
- Dr. Jeffrey S Leiter, DDSDentist, General Practice · NPI 1821018466
- Dr. Mark W Evans, DMDDentist, General Practice · NPI 1770792285
Frequently Asked Questions
What is the NPI number of Andrew O Bonavita, DMD?
The NPI number of Andrew O Bonavita, DMD is 1790890705. It was assigned on August 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Andrew O Bonavita, DMD?
Andrew O Bonavita, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 17903.
Where does Andrew O Bonavita, DMD 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 1790890705 directly on the NPPES registry website.