Andrea Marie Bonnick in Waldorf - Oral And Maxillofacial Surgery
Andrea Marie Bonnick - NPI 1366567380
Andrea Marie Bonnick is a Oral And Maxillofacial Surgery in Waldorf, Maryland. Andrea Marie Bonnick practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Andrea Marie Bonnick is 1366567380. The last update date is 2007-07-08.
Andrea Marie Bonnick's current location address is 15150 Pawleys Pl, Waldorf, Maryland. You can contact this provider via phone number 2028651361 and fax number 2028653323. The mailing address for Andrea Marie Bonnick is 15150 Pawleys Pl, Waldorf, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Marie Bonnick |
|---|---|
| Address | 15150 Pawleys Pl, Waldorf, Maryland |
| Phone Number | 2028651361 |
| Fax Number | 2028653323 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1366567380 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15150 Pawleys Pl |
|---|---|
| City | Waldorf |
| State | Maryland (MD) |
| Post Code | 206015419 |
| Phone Number | 2028651361 |
| Fax Number | 2028653323 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DN5626 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4833 | DC | BLUECROSSBLUE SHIELD | |
| 802270 | DC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Andrea Marie Bonnick by the Centers for Medicare & Medicaid Services?
The Andrea Marie Bonnick has been assigned the NPI (National Provider Identifier) 1366567380 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Andrea Marie Bonnick's physical address?
The Andrea Marie Bonnick is physically located at 15150 Pawleys Pl, in the city of Waldorf, MD, with the postal code 206015419.
What is Andrea Marie Bonnick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Andrea Marie Bonnick's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.
On what date did the Andrea Marie Bonnick receive its 1366567380 assignment from the Centers for Medicare & Medicaid Services?
The Andrea Marie Bonnick was assigned its 1366567380 by the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information regarding Andrea Marie Bonnick, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Andrea Marie Bonnick, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.