Gina Marie Bonaventura in Pearland - Periodontics
Gina Marie Bonaventura - NPI 1093859217
Gina Marie Bonaventura is a Periodontics in Pearland, Texas. Gina Marie Bonaventura practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Gina Marie Bonaventura is 1093859217. The last update date is 2007-07-08.
Gina Marie Bonaventura's current location address is 2734 Sunrise Blvd, Pearland, Texas. You can contact this provider via phone number 2818542960 and fax number 2818542961. The mailing address for Gina Marie Bonaventura is 2734 Sunrise Blvd, Pearland, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina Marie Bonaventura |
|---|---|
| Address | 2734 Sunrise Blvd, Pearland, Texas |
| Phone Number | 2818542960 |
| Fax Number | 2818542961 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1093859217 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2734 Sunrise Blvd |
|---|---|
| City | Pearland |
| State | Texas (TX) |
| Post Code | 775848514 |
| Phone Number | 2818542960 |
| Fax Number | 2818542961 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 19659 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique identifier code issued to Gina Marie Bonaventura by the Centers for Medicare & Medicaid Services (CMS)?
The Gina Marie Bonaventura has been assigned the NPI (National Provider Identifier) 1093859217. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Gina Marie Bonaventura is located?
The Gina Marie Bonaventura is situated at the following address: 2734 Sunrise Blvd, Pearland, TX, 775848514.
What is the Gina Marie Bonaventura's area of specialization and corresponding taxonomy classification?
The Gina Marie Bonaventura's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date was the 1093859217 assigned to Gina Marie Bonaventura?
The Gina Marie Bonaventura was issued its 1093859217 on 2007-02-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Gina Marie Bonaventura last refreshed?
The information related to the Gina Marie Bonaventura, including its address, specialty, and other relevant details, was last updated on 2007-07-08.