JACOB ANTHONY BONOLA DMD - NPI 1497479877

Q: What is Jacob Bonola's NPI number?

The NPI number for Jacob Bonola is 1497479877. It was assigned to this individual provider in the NPPES registry on September 29, 2022.

Q: What is Jacob Bonola's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Bonola was last updated on September 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jacob Anthony Bonola Dmd NPPES

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

JACOB ANTHONY BONOLA DMD (NPI 1497479877) is an individual dental public health provider in Marshall, Texas, licensed in Texas (39027) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1497479877

Entity TypeIndividualMale

Primary Taxonomy1223D0001X

Provider Legal NameJACOB ANTHONY BONOLACredential: DMD

Location Address100 FORREST TERMarshall, TX 75670-6804

Mailing Address1800 Barrington DrKeller, TX 76262-9004 · (817) 915-0888

Phone(903) 938-8315

Sole ProprietorYes

Enumeration DateSeptember 29, 2022

NPPES CertifiedSeptember 29, 2022

✔ NPI 1497479877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers

Taxonomy Code1223D0001X

License✔ Licensed in TX · 39027

Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.

100 FORREST TER, Marshall, TX 75670

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 6

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

FEDA ZAYED

Dentist (General Practice)