Michael Paul Bonner Sr., DDS

Dentist · Lake Worth, TX

Individual Active NPI

NPI number 1942335294

Practice location

6316 Azle Ave Ste 200
Lake Worth, TX 76135-2454
Phone
(817) 237-7377
Fax
(817) 237-7389

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NPI record

NPI
1942335294
Entity type
Individual (Type 1)
Enumeration date
February 23, 2007
Last updated
January 21, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 10761 TX

About Dr. Bonner

Michael Paul Bonner Sr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6316 Azle Ave Ste 200, Lake Worth, TX 76135-2454. The NPI number 1942335294 was assigned on February 23, 2007 and the record was last updated on January 21, 2009.

Dr. Bonner lists a license in the registry: #10761 (TX) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Paul Bonner Sr., DDS?

The NPI number is 1942335294.

What is the phone number of Dr. Bonner?

The phone number listed for the practice location is (817) 237-7377.

Where is Dr. Bonner located?

6316 Azle Ave Ste 200, Lake Worth, TX 76135-2454.

What is the taxonomy code for Dr. Bonner?

The primary taxonomy code is 122300000X – Dentist.

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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