Bonniwell, Timothy D
Bonniwell, Timothy D is an individual health care provider with primary practice located at 2377 N Triphammer Rd , Ithaca NY 14850-1050. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Bonniwell, Timothy D can be contacted via phone (607) 266-8600.Contact Information
Primary practice address
2377 N Triphammer Rd
Ithaca NY 14850-1050
Phone: (607) 266-8600
Fax: (607) 266-8603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 053673-1 | New York |
Profile Details
| NPI number | 1386622173 |
|---|---|
| LBN Legal business name | Bonniwell, Timothy D |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Sep 22nd, 2014 - 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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