AMY ELIZABETH BONHAM - NPI 1689835142

Q: What is Amy Bonham's NPI number?

The NPI number for Amy Bonham is 1689835142. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Q: What is Amy Bonham'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 Amy Bonham was last updated on June 18, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Amy Elizabeth Bonham NPPES

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

AMY ELIZABETH BONHAM (NPI 1689835142) is an individual general practice provider in Largo, Florida, licensed in Florida (DN 18017) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1689835142

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameAMY ELIZABETH BONHAM

Location Address12720 ULMERTON RDLargo, FL 33774-3601

Mailing Address12720 Ulmerton RdLargo, FL 33774-3601 · (727) 581-1869 · Fax (727) 581-2087

Phone(727) 581-1869

Fax(727) 581-2087

Sole ProprietorNo

Enumeration DateJune 18, 2008

✔ NPI 1689835142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN 18017

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.

12720 ULMERTON RD, Largo, FL 33774

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Other Providers at the Same Location NPPES 5

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

CHRISTOPHER J. BONHAM, D.M.D., P.A.

Dentist (General Practice)