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Contact Information

JOSEPH D BONAVILLA, DDS
888 COOK RD
ORANGEBURG, SC29118-2126
 Phone: 803-516-0777
 Fax: 803-516-0577
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for JOSEPH D BONAVILLA · (Male)

NPI # 1205045382
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 05/22/2007
Last updated 10/09/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # DN013507
  • NY License # 50-051910
  • SC License # 4305
  • VA License # 0401411675
  • WV License # 3516
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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