DR. TANYA BONICELLI D.D.S.
NPI 1770744690
Dentist - General Practice in Fargo, ND

Active since June 23, 2008
4302 13TH AVE S, FARGO, ND 58103(701) 277-3269(701) 277-4994 Get Directions Write a Review

NPPES record last updated: October 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Tanya Bonicelli D.d.s. NPPES

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

DR. TANYA BONICELLI D.D.S. (NPI 1770744690) is an individual general practice provider in Fargo, North Dakota, licensed in North Dakota (2027) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1770744690
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TANYA BONICELLICredential: D.D.S.
Location Address4302 13TH AVE SFargo, ND 58103-3395
Mailing Address4302 13th Ave SFargo, ND 58103-3395 · (701) 277-3269 · Fax (701) 277-4994
Fax(701) 277-4994
Sole ProprietorNo
Enumeration DateJune 23, 2008
Last NPPES UpdateOctober 27, 2008
NPI 1770744690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ND · 2027
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.
4302 13TH AVE S, Fargo, ND 58103

Accepted 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.

Optometrist
4302 13TH AVE S
FARGO, ND 58103
Dentist
4302 13TH AVE S, SUITE 10
FARGO, ND 58103
Eyewear Supplier
4302 13TH AVE S, STE. 6
FARGO, ND 58103
Dentist (General Practice)
4302 13TH AVE S, SUITE 10
FARGO, ND 58103
Dentist (General Practice)
4302 13TH AVE S
FARGO, ND 58103
Dentist (General Practice)
4302 13TH AVE S
FARGO, ND 58103

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 Tanya Bonicelli's NPI number?

The NPI number for Tanya Bonicelli is 1770744690. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Tanya Bonicelli located?

Tanya Bonicelli practices at 4302 13th Ave S, Fargo, ND 58103. The listed phone number is (701) 277-3269.

What is Tanya Bonicelli's specialty?

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

What insurance does Tanya Bonicelli accept?

Health plans from Blue Cross Blue Shield of North Dakota, Delta Dental of Minnesota and Florida Combined Life list Tanya Bonicelli 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 Tanya Bonicelli was last updated on October 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.