JEREMY R BONANDER DDS NPI 1780965046

NPI Information

NPI: 1780965046
Provider Name: JEREMY R BONANDER, DDS
Classification: Dentist - 1223D0004X
Entity Type: Individual

Specialization: Dentist Anesthesiologist

Address:
716 N COUNTRY CLUB RD
TUCSON, AZ
ZIP 85716
Phone: (208) 559-6122
Get Directions

Jeremy R Bonander, DDS is a dentist anesthesiologist dentist in Tucson, AZ. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. Jeremy R Bonander, DDS NPI is 1780965046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

716 N COUNTRY CLUB RD
TUCSON, AZ
ZIP 85716
Phone: (208) 559-6122
Fax: (530) 300-7330

The enumeration date for this NPI number is 8/31/2011 and was last updated on 10/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223D0004X	Dentist	Dentist Anesthesiologist	D008861	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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