Lechandre Bonner

General Practice Dentistry · Kennesaw, GA

Individual Active NPI

NPI number 1114099348

Practice location

425 Barrett Pkwy Ste 4060
Kennesaw, GA 30144-4949
Phone
(678) 905-6300
Fax
(678) 905-6301

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NPI record

NPI
1114099348
Entity type
Individual (Type 1)
Enumeration date
November 14, 2006
Last updated
May 13, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN012435 GA

Mailing address

2019 Clovercroft Rd NW
Acworth, GA 30101-7178
Phone
(706) 627-9079

About Lechandre Bonner

Lechandre Bonner is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 425 Barrett Pkwy Ste 4060, Kennesaw, GA 30144-4949. The NPI number 1114099348 was assigned on November 14, 2006 and the record was last updated on May 13, 2019.

Lechandre Bonner lists a license in the registry: #DN012435 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lechandre Bonner?

The NPI number is 1114099348.

What is the phone number of Lechandre Bonner?

The phone number listed for the practice location is (678) 905-6300.

Where is Lechandre Bonner located?

425 Barrett Pkwy Ste 4060, Kennesaw, GA 30144-4949.

What is the taxonomy code for Lechandre Bonner?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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