Bonner, Laura L

Bonner, Laura L is an individual health care provider with primary practice located at 402 S Metro Pkwy , Rogers AR 72758-8530. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Bonner, Laura L can be contacted via phone (479) 899-6400.

Contact Information

Primary practice address
402 S Metro Pkwy Rogers AR 72758-8530
Phone: (479) 899-6400
Fax: (479) 358-1454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN-9923 Colorado
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 4016 Arkansas

Profile Details

NPI number 1952538159
LBN Legal business name Bonner, Laura L
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2009
Last updated Dec 30th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1952538159 NPPES
Arkansas MEDICAID 209905608

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