Robert T. Bonacker in North Baldwin - General Practice

Robert T. Bonacker - NPI 1720008345

Robert T. Bonacker is a General Practice in North Baldwin, New York. Robert T. Bonacker practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert T. Bonacker is 1720008345. The last update date is 2007-07-08.

Robert T. Bonacker's current location address is 640 De Mott Ave, North Baldwin, New York. You can contact this provider via phone number 5162239132. The mailing address for Robert T. Bonacker is 640 De Mott Ave, North Baldwin, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert T. Bonacker
Address 640 De Mott Ave, North Baldwin, New York
Phone Number 5162239132
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1720008345
Provider Enumeration Date 2006-07-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 640 De Mott Ave
City North Baldwin
State New York (NY)
Post Code 115101325
Phone Number 5162239132
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 34636
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.

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FAQs about Robert T. Bonacker

What is the unique identifier code issued to Robert T. Bonacker by the Centers for Medicare & Medicaid Services (CMS)?

The Robert T. Bonacker has been assigned the NPI (National Provider Identifier) 1720008345. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Robert T. Bonacker?

The Robert T. Bonacker is situated at 640 De Mott Ave, in the city of North Baldwin, state of NY, with the zip code 115101325.

What is the Robert T. Bonacker's area of specialization and corresponding taxonomy classification?

The Robert T. Bonacker's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Robert T. Bonacker receive the assignment of its 1720008345 from the Centers for Medicare & Medicaid Services?

The Robert T. Bonacker was issued its 1720008345 by the Centers for Medicare & Medicaid Services on 2006-07-19.

When was the information pertaining to Robert T. Bonacker most recently updated or revised?

The details related to Robert T. Bonacker, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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