Bonner, Justin Drew
Bonner, Justin Drew is an sole proprietor health care provider with primary practice located at 3234 64Th St Ste B , Lubbock TX 79413-5761. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Bonner, Justin Drew can be contacted via phone (806) 722-3637.Contact Information
Primary practice address
3234 64Th St Ste B
Lubbock TX 79413-5761
Phone: (806) 722-3637
Fax: (806) 722-3638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 62320 | California |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 31701 | Texas |
Profile Details
| NPI number | 1205240371 |
|---|---|
| LBN Legal business name | Bonner, Justin Drew |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2014 |
| Last updated | Jun 25th, 2024 - about 5 months 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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