Bonnevie, David R
Bonnevie, David R is an individual health care provider with primary practice located at 2145 Lancelot Dr , Niagara Falls NY 14304-3093. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bonnevie, David R can be contacted via phone (716) 297-1644.Contact Information
Primary practice address
2145 Lancelot Dr
Niagara Falls NY 14304-3093
Phone: (716) 297-1644
Fax: (716) 297-9855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 035042 | New York |
Profile Details
| NPI number | 1073773495 |
|---|---|
| LBN Legal business name | Bonnevie, David R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2008 |
| Last updated | Jun 10th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073773495 | NPPES |
| New York | MEDICAID | 00644380 |
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