National Provider Identifier Database

CHRISTOPHER E BONACCI DDS MD PC
Oral and Maxillofacial Surgery

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.


Contact Information

CHRISTOPHER E. BONACCI DDS MD PC
361 MAPLE AVE W
SUITE 200
VIENNA, VA22180-4304
Phone: 703-255-9400
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for CHRISTOPHER E. BONACCI DDS MD PC

NPI Number 1720006661
Legal business name
LBN
CHRISTOPHER E. BONACCI DDS MD PC
Authorized official CHRISTOPHER BONACCI - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/18/2006
Last updated 09/23/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 0101057525
  • VA License #: 0401102631

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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