Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT LUSK BONHAM, D.D.S. (DENTIST)
Active Sole ProprietorDR. ROBERT LUSK BONHAM, D.D.S. (DENTIST) is a Dentist healthcare provider located in SO. BEND, Indiana. NPI 1952605560 is currently active in the NPPES registry. Verify at CMS.
Dentist · SO. BEND, IN
Registration Details
- NPI Number
- 1952605560
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 23, 2010 (15.684236946256 yrs)
- Last Updated
- Dec 23, 2010
- License
-
6474 (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1222 L.W.E.SO. BEND, IN, 46601Browse IN providers · Browse ZIP 46601
- Phone
- 5742873300
- Fax
- 5742873301
- Primary Specialty
-
Dentist
122300000X
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.