Trudy Marie Bonvino in Prior Lake - Dentist
Trudy Marie Bonvino - NPI 1518023464
Trudy Marie Bonvino is a Dentist in Prior Lake, Minnesota. Trudy Marie Bonvino practices all healthcare services and medical treatments related to Dentist. The NPI Number for Trudy Marie Bonvino is 1518023464. The last update date is 2014-07-07.
Trudy Marie Bonvino's current location address is 14065 Commerce Ave Ne, Prior Lake, Minnesota. You can contact this provider via phone number 9524693333. The mailing address for Trudy Marie Bonvino is 14065 Commerce Ave Ne, Prior Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trudy Marie Bonvino |
|---|---|
| Address | 14065 Commerce Ave Ne, Prior Lake, Minnesota |
| Phone Number | 9524693333 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS MS |
NPI Number Detail
| NPI Number | 1518023464 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2014-07-07 |
Provider Mailing Address Detail
| Address | 14065 Commerce Ave Ne |
|---|---|
| City | Prior Lake |
| State | Minnesota (MN) |
| Post Code | 553721436 |
| Phone Number | 9524693333 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 10859 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Trudy Marie Bonvino by the Centers for Medicare & Medicaid Services?
The Trudy Marie Bonvino has been assigned the NPI (National Provider Identifier) 1518023464 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Trudy Marie Bonvino is physically located?
The Trudy Marie Bonvino is situated at the following address: 14065 Commerce Ave Ne, Prior Lake, MN 553721436.
What is the area of specialization for Trudy Marie Bonvino, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Trudy Marie Bonvino is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
When did Trudy Marie Bonvino receive its 1518023464 assignment?
The Trudy Marie Bonvino was assigned its 1518023464 on 2006-12-28, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Trudy Marie Bonvino, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Trudy Marie Bonvino, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-07.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH