Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOSEPH DAVIN BONAVILLA, D.D.S.
Active Sole ProprietorDR. JOSEPH DAVIN BONAVILLA, D.D.S. is a Endodontics healthcare provider located in ORANGEBURG, South Carolina. NPI 1205045382 is currently active in the NPPES registry. Verify at CMS.
Endodontics · ORANGEBURG, SC
Registration Details
- NPI Number
- 1205045382
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.194933645194 yrs)
- Last Updated
- Oct 9, 2007
- Licenses
-
4305 (SC)DN013507 (GA)50-051910 (NY)3516 (WV)0401411675 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
888 COOK RDORANGEBURG, SC, 291182126Browse SC providers · Browse ZIP 29118
- Phone
- 8035160777
- Fax
- 8035160577
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
- Additional Specialty
- Endodontics
- Additional Specialty
- Endodontics
- Additional Specialty
- Endodontics
Other Endodontics Providers in ORANGEBURG, SC
| Name | Credential | NPI |
|---|---|---|
| DR. MELANIE ANNE BROWN | DMD | 1083028617 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.