DR. JUSTIN BONVALLET (NPI# 1316018708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316018708 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN BONVALLET |
| Credential | DMD |
| Practice Address |
132 N Walnut St Byron IL 61010-8807 |
| Practice Telephone | 8152344211 |
| Mailing Telephone | 8152344211 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2011-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 019027531 | IL | Dental Providers |
| N | 122300000X | Dentist | 6041 | WI | Dental Providers |
| Street Address |
132 N WALNUT ST |
| City | BYRON |
| State | IL |
| Zip Code | 61010-8807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912265133 | Bonvallet Dental, PC | Clinic/Center | 132 N Walnut St, Byron, IL 61010-8807 | 2012-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700303377 | Emily A Hussey | Speech-Language Pathologist | 1214 Glacier Dr, Byron, IL 61010 | 2017-08-24 |
| 1386084259 | Joseph Carr Kimbell | Family Medicine | 230 W. Blackhawk Blvd., Byron, IL 61010 | 2013-06-25 |
| 1578893723 | Kelly Ann Rogers | Physical Therapy Assistant | 404 West Blackhawk Drive, Suite 1ll, Byron, IL 61010 | 2010-01-12 |
| 1891842464 | Susan M Penner | Optometrist | 134 E Blackhawk Dr, Byron, IL 61010 | 2007-01-04 |
| 1225199961 | Swedishamerican Hospital | Nurse Practitioner | 230 W Blackhawk Dr, Byron, IL 61010 | 2006-12-13 |
| 1912012808 | Jonathan S Link | Physical Therapist | 404 W Blackhawk Drive, Suite 1ll, Byron, IL 61010 | 2006-08-20 |
| 1821011297 | Byron Fire Protection District | Ambulance | 123 N Franklin St, Byron, IL 61010 | 2006-07-25 |
| 1386856490 | Emily Rogers | Family Medicine | 220 W Blackhawk Dr, Byron, IL 61010 | 2007-05-03 |
| 1568557189 | Bridget L Johnson | Physical Therapist | 404 W Blackhawk Drive, Suite 1u, Byron, IL 61010 | 2006-10-03 |
| 1659463834 | Angela Pfeiffer | Physical Therapist | 404 W Blackhawk Drive, Suite 1u, Byron, IL 61010 | 2006-09-28 |
| Find all providers in zip 61010 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457844565 | Albreia Levonti Hall | Dentist | 6005 Watson Blvd Ste 200, Byron, GA 31008-6542 | 2018-06-13 |
| 1841711272 | Andrew Kicklighter | Dentist | 3208 Us Highway 41 N, Byron, GA 31008-3721 | 2017-07-07 |
| 1710282983 | William L Ragan | Dentist | 105 White Rd, Byron, GA 31008-3711 | 2011-01-20 |
| 1477888949 | Byron Dental Group Pa | Dentist | 21 Ne Frontage Rd., Byron, MN 55920 | 2009-10-16 |
| 1740436526 | Stephan F Holcomb | Dentist | 123 Gralan Dr, Byron, GA 31008-6344 | 2008-08-13 |
| 1265599138 | Frederick William Nolting | Dentist | 111 Frontage Rd Ne, Byron, MN 55920-0367 | 2007-01-02 |
| 1881772754 | Douglas Michael Trebtoske | Dentist | 21 Ne Frontage Rd, Byron, MN 55920 | 2006-11-01 |
| 1497209753 | Skyler F Holcomb | Dentist | 123 Gralan Dr, Byron, GA 31008-6344 | 2016-08-04 |
| 1700050549 | Heidi Kay Torgerson | Dentist | 21 Frontage Rd Ne, Byron, MN 55920-1592 | 2008-04-14 |
| 1396818654 | Christina Chew Ganfield | Dentist | 21 Ne Frontage Rd, Byron, MN 55920 | 2006-11-16 |
| Find all providers in BYRON | ||||
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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.