Bonavilla, Joseph Davin

Bonavilla, Joseph Davin is an sole proprietor health care provider with primary practice located at 888 Cook Rd , Orangeburg SC 29118-2126. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Bonavilla, Joseph Davin can be contacted via phone (803) 516-0777.

Contact Information

Primary practice address
888 Cook Rd Orangeburg SC 29118-2126
Fax: (803) 516-0577
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 4305 South Carolina
Dental Providers / Endodontics 1223E0200X DN013507 Georgia
Dental Providers / Endodontics 1223E0200X 50-051910 New York
Dental Providers / Endodontics 1223E0200X 3516 West Virginia
Dental Providers / Endodontics 1223E0200X 0401411675 Virginia

Profile Details

NPI number 1205045382
LBN Legal business name Bonavilla, Joseph Davin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Oct 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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