DR. GINA MARIE BONAVENTURA (NPI# 1093859217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093859217 |
Entity Type | Individual |
Full Name | DR. GINA MARIE BONAVENTURA |
Credential | DDS, MS |
Practice Address |
2734 Sunrise Blvd Suite 302 Pearland TX 77584-8514 |
Practice Telephone | 2818542960 |
Practice Fax Number | 2818542961 |
Mailing Telephone | 2818542960 |
Mailing Fax Number | 2818542961 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
19659 | TX | Dental Providers |
Street Address |
2734 SUNRISE BLVD SUITE 302 |
City | PEARLAND |
State | TX |
Zip Code | 77584-8514 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598754194 | Shawn R Johnson | Family Medicine | 2734 Sunrise Blvd, Suite 404, Pearland, TX 77584-8514 | 2005-10-17 |
1083860480 | Sherry Leigh Wall | Nurse Practitioner | 2734 Sunrise Blvd, Suite 402, Pearland, TX 77584-8709 | 2008-08-18 |
1497962344 | George W Deleon Md Pa | Clinic/Center | 2734 Sunrise Blvd, Suite 402, Pearland, TX 77584-8514 | 2007-05-17 |
1740369941 | Kyle Dean Moses | Dentist | 2734 Sunrise Blvd, Suite 301, Pearland, TX 77584-8514 | 2006-11-06 |
1992891279 | Leah E Guidry-white | Family Medicine | 2734 Sunrise Blvd, Suite 404, Pearland, TX 77584-8514 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
Find all providers in zip 77584 |
Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255852190 | Jennifer Dunham James | Dentist | 2734 Sunrise Blvd Ste 302, Pearland, TX 77584-8709 | 2017-06-30 |
1073810735 | Corbet K Ellison Dds PC | Dentist | 11233 Shadow Creek Pkwy, Suite 120, Pearland, TX 77584-7345 | 2011-02-16 |
1316178585 | Sayma Memon | Dentist | 10228 Broadway St, Pearland, TX 77584-8087 | 2009-08-05 |
1194977041 | Lisa L Tran | Dentist | 3530 Sunset Meadows Dr, Suite 108, Pearland, TX 77581-8865 | 2008-10-22 |
1043437023 | Sharon Minott-warren | Dentist | 10015 Broadway St Ste A, Pearland, TX 77584-7879 | 2007-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457961492 | Sonrisas Dental Center South, LLC | Dentist | 1217 W Slaughter Ln Ste 100, Austin, TX 78748-6912 | 2020-08-05 |
1487263653 | Julia Ann Shelbourn | Dentist | 8210 Floyd Curl Dr # 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
1386253664 | Kara Dunegan | Dentist | 8210 Floyd Curl Dr Msc 8122, San Antonio, TX 78229-3923 | 2020-07-23 |
1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
1326669193 | Bellaire Periocosmetic Dental Pllc | Dentist | 9889 Bellaire Blvd Ste 322, Houston, TX 77036-3468 | 2020-05-02 |
1447884341 | Kagayaki Corp. | Dentist | 3535 Victory Group Way Ste 101, Frisco, TX 75034-6719 | 2020-02-28 |
1225660046 | Ezzy Oms Pllc | Dentist | 11620 Louetta Rd Ste B, Houston, TX 77070-1282 | 2020-02-10 |
1912538984 | Michelle Marie Torres Santos | Dentist | 6123 79th St # 100, Lubbock, TX 79424-8708 | 2020-01-29 |
1225668429 | Rachel Dai, Pllc | Dentist | 20423 Kuykendahl Rd Ste 600, Spring, TX 77379-3493 | 2020-01-16 |
1003456716 | Samer A Faraj Dds Ms Pllc | Dentist | 23762 Us 59 Ste A, Porter, TX 77365 | 2020-01-10 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.