DR. JUSTIN DREW BONNER D.D.S.
NPI 1205240371
Dentist - Oral and Maxillofacial Surgery in Lubbock, TX

Active since June 17, 2014
3234 64TH ST STE B, LUBBOCK, TX 79413(806) 722-3637(806) 722-3638 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Mar 9, 2019, Jun 6, 2017 and 2 more (5 updates tracked since 2016).

About Dr. Justin Drew Bonner D.d.s. NPPES

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

DR. JUSTIN DREW BONNER D.D.S. (NPI 1205240371) is an individual oral and maxillofacial surgery provider in Lubbock, Texas, licensed in Texas (31701) and active in the NPI registry since June 2014. He maintains a secondary practice location in Abilene.

NPPES Registry Identity

NPI1205240371
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JUSTIN DREW BONNERCredential: D.D.S.
Location Address3234 64TH ST STE BLubbock, TX 79413-5761
Mailing Address3234 64th St Ste BLubbock, TX 79413-5761 · (806) 722-3637 · Fax (806) 722-3638
Fax(806) 722-3638
Sole ProprietorYes
Enumeration DateJune 17, 2014
Last NPPES UpdateJune 25, 20245 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
NPI 1205240371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TX · 31701
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 62320 (CA)
3234 64TH ST STE B, Lubbock, TX 79413

Secondary Practice Location 1

Location 14 Hospital DrAbilene, TX 79606-5289 · Phone (325) 437-3100 · Fax (325) 437-3199

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
3234 64TH ST STE B
LUBBOCK, TX 79413
Clinic/Center (Dental)
3234 64TH ST STE B
LUBBOCK, TX 79413

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 Justin Bonner's NPI number?

The NPI number for Justin Bonner is 1205240371. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is Justin Bonner located?

Justin Bonner practices at 3234 64th St Ste B, Lubbock, TX 79413. The listed phone number is (806) 722-3637.

What is Justin Bonner's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Justin Bonner accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Dominion National and Humana and 1 other insurer list Justin 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 Justin Bonner was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.