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BONVALLET DENTAL, PC
NPI 1912265133
Clinic/Center - Dental in Byron, IL

Active since April 25, 2012
132 N WALNUT ST, BYRON, IL 61010(815) 234-4211 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About BONVALLET DENTAL, PC

This page provides the complete NPI Profile along with additional information for Bonvallet Dental, Pc, a provider established in Byron, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1912265133 assigned on April 2012. The practitioner's primary taxonomy code is 261QD0000X with license number 019027531 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Justin Bonvallet Dmd (Dentist/president)

NPI
1912265133 Verify this NPI
Provider Name
BONVALLET DENTAL, PC
Entity Type
Organization
Location Address
132 N WALNUT ST BYRON, IL 61010
Location Phone
(815) 234-4211
Mailing Address
132 N WALNUT ST PO BOX 432 BYRON, IL 61010
Mailing Phone
(815) 234-4211
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2012
Last Update Date
04-25-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities
License No.
019027531
License State
IL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JUSTIN BONVALLET DMD

Authorized Official Title
DENTIST/PRESIDENT
Authorized Official Phone
(815) 234-4211

Reviews for BONVALLET DENTAL, PC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DR. JUSTIN BONVALLET DMD
Dentist
132 N WALNUT ST
BYRON, IL 61010
Ogle County (815) 234-4211

Frequently Asked Questions

What is BONVALLET DENTAL, PC's NPI number?

The NPI number assigned to this healthcare provider is 1912265133, enumerated as an "organization" on April 25, 2012.

Where is the provider located?

The provider is located at 132 N WALNUT ST BYRON, IL 61010 and the phone number is (815) 234-4211.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.