DR. LECHANDRE BONNER
NPI 1114099348
Dentist - General Practice in Kennesaw, GA

Q: What is Lechandre Bonner's NPI number?

The NPI number for Lechandre Bonner is 1114099348. It was assigned to this individual provider in the NPPES registry on November 14, 2006. The provider is also known as Lechandre Wadley.

Q: What is Lechandre Bonner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Lechandre Bonner was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 14, 2006

425 BARRETT PKWY STE 4060, KENNESAW, GA 30144(678) 905-6300(678) 905-6301 Get Directions Write a Review

NPPES record last updated: May 13, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Lechandre Bonner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LECHANDRE BONNER (NPI 1114099348) is an individual general practice provider in Kennesaw, Georgia, licensed in Georgia (DN012435) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1114099348

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LECHANDRE BONNER

Location Address425 BARRETT PKWY STE 4060Kennesaw, GA 30144-4949

Mailing Address2019 Clovercroft Rd NwAcworth, GA 30101-7178 · (706) 627-9079

Phone(678) 905-6300

Fax(678) 905-6301

Sole ProprietorNo

Enumeration DateNovember 14, 2006

Last NPPES UpdateMay 13, 2019

✔ NPI 1114099348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN012435

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

425 BARRETT PKWY STE 4060, Kennesaw, GA 30144

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Other Names 1

Other Name (5)Lechandre Wadley

Other Identifiers 3

Medicaid000946536APGA

Medicaid000946536LGA

Medicaid000946536CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lechandre Bonner's NPI number?

The NPI number for Lechandre Bonner is 1114099348. It was assigned to this individual provider in the NPPES registry on November 14, 2006. The provider is also known as Lechandre Wadley.

Where is Lechandre Bonner located?

Lechandre Bonner practices at 425 Barrett Pkwy Ste 4060, Kennesaw, GA 30144. The listed phone number is (678) 905-6300.

What is Lechandre Bonner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Lechandre Bonner accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 11 other insurers list Lechandre Bonner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lechandre Bonner was last updated on May 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.