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DR. ANDREA MARIE BONNICK DDS NPI 1366567380


NPI Information

NPI: 1366567380
Provider Name: DR. ANDREA MARIE BONNICK, DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
2041 GEORGIA AVE NW
SUITE 4C-46
WASHINGTON, DC
ZIP 20060
Phone: (202) 865-1361
Get Directions

DR. Andrea Marie Bonnick, DDS is an oral and maxillofacial surgery dentist in Washington, DC. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Andrea Marie Bonnick, DDS NPI is 1366567380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2041 GEORGIA AVE NW
SUITE 4C-46
WASHINGTON, DC
ZIP 20060-001
Phone: (202) 865-1361
Fax: (202) 865-3323

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryDN5626DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10802270MEDICAIDDISTRICT OF COLUMBIA
2490772MEDICARE ID-TYPE UNSPECIFIEDDISTRICT OF COLUMBIA
34833OTHERDISTRICT OF COLUMBIABLUECROSSBLUE SHIELD

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.