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JULIE BONHAM
NPI 1326548454
Dental Therapist in Little Falls, MN

Active since February 15, 2018
803 3RD ST. SE, SUITE 330, LITTLE FALLS, MN 56345(206) 315-6536 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2018, Feb 15, 2018 (2 updates tracked since 2018).

About Julie Bonham NPPES

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

JULIE BONHAM (NPI 1326548454) is an individual dental therapist in Little Falls, Minnesota, licensed in Minnesota (DT95) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1326548454
Entity TypeIndividualFemale
Primary Taxonomy125J00000X
Provider Legal NameJULIE BONHAM
Location Address803 3RD ST. SE, SUITE 330Little Falls, MN 56345
Mailing Address8960 Springbrook Dr Nw Ste 150Minneapolis, MN 55433-5810 · (320) 631-5653
Phone(206) 315-6536
Sole ProprietorNo
Enumeration DateFebruary 15, 2018
Last NPPES UpdateDecember 5, 20182 updates tracked since enumeration
✔ NPI 1326548454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License✔ Licensed in MN · DT95
Definition

A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.

803 3RD ST. SE, Little Falls, MN 56345
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Other Identifiers 1

Medicaid467477400MN

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 Julie Bonham's NPI number?

The NPI number for Julie Bonham is 1326548454. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Julie Bonham located?

Julie Bonham practices at 803 3rd St. SE Suite 330, Little Falls, MN 56345. The listed phone number is (206) 315-6536.

What is Julie Bonham's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Julie Bonham was last updated on December 5, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.