Tanya Bonicelli is a General Practice in Fargo, North Dakota. Tanya Bonicelli practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tanya Bonicelli is 1770744690. The last update date is 2008-10-27.
Tanya Bonicelli's current location address is 4302 13th Ave S, Fargo, North Dakota. You can contact this provider via phone number 7012773269 and fax number 7012774994. The mailing address for Tanya Bonicelli is 4302 13th Ave S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanya Bonicelli |
|---|---|
| Address | 4302 13th Ave S, Fargo, North Dakota |
| Phone Number | 7012773269 |
| Fax Number | 7012774994 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1770744690 |
|---|---|
| Provider Enumeration Date | 2008-06-23 |
| Last Updated Date | 2008-10-27 |
Provider Mailing Address Detail
| Address | 4302 13th Ave S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581033395 |
| Phone Number | 7012773269 |
| Fax Number | 7012774994 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 2027 |
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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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What is the unique 10-digit identifier code issued to Tanya Bonicelli by the Centers for Medicare & Medicaid Services?
The Tanya Bonicelli has been assigned the NPI (National Provider Identifier) 1770744690 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 Tanya Bonicelli is physically located?
The Tanya Bonicelli is situated at the following address: 4302 13Th Ave S, Fargo, ND 581033395.
What is Tanya Bonicelli's area of expertise and its corresponding taxonomy classification?
The Tanya Bonicelli's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Tanya Bonicelli receive its 1770744690 assignment from the Centers for Medicare & Medicaid Services?
The Tanya Bonicelli was assigned its 1770744690 by the Centers for Medicare & Medicaid Services on 2008-06-23.
When was the information pertaining to Tanya Bonicelli most recently updated or revised?
The details related to Tanya Bonicelli, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-27.