CHRISTOPHER E. BONACCI DDS MD PC


Address: 361 Maple Ave W, Suite 200, Vienna, VA 22180-4304
Phone: 7032559400

CHRISTOPHER E. BONACCI DDS MD PC (NPI# 1720006661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720006661
Entity Type Organization
Organization Name CHRISTOPHER E. BONACCI DDS MD PC
Practice Address 361 Maple Ave W
Suite 200
Vienna
VA 22180-4304
Practice Telephone 7032559400
Mailing Telephone 7032559400
Enumeration Date 2006-07-18
Last Update Date 2011-09-23
Authorized Official Name DR. CHRISTOPHER EUGENE BONACCI (PRESIDENT)
Authorized Official Telephone 7032559400
Authorized Official Credential DDS MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
0401102631 VA Ambulatory Health Care Facilities
Y 261QS0112X Clinic/Center
Specialization: Oral and Maxillofacial Surgery
0101057525 VA Ambulatory Health Care Facilities

Office Location

Street Address 361 MAPLE AVE W
SUITE 200
City VIENNA
State VA
Zip Code 22180-4304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609211325 Christopher E Bonacci Dentist 361 Maple Ave W, Vienna, VA 22180-4304 2013-05-08
1992826333 Sang Yoon Kim Dentist 361 Maple Ave W, Suite 200, Vienna, VA 22180-4304 2007-04-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023519386 Erika Ruiz Dentist Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 2018-02-22
1992220206 John Alexander Massage Therapist 122 Maple Ave W, Vienna, VA 22180 2017-08-08
1548620214 Harris Teeter LLC Durable Medical Equipment & Medical Supplies 2675 Avenir Place, Vienna, VA 22180 2016-02-24
1992163190 Peter J Mcgarry Chiropractor 301 Maple Ave. W. Ste 515, Vienna, VA 22180 2016-02-02
1629479563 Jaimie Vettichira Samuel Pediatrics 100 East St Se Ste 301, Vienna, VA 22180 2014-09-10
1326454562 N R Emad Dds PC Dentist 307 F Maple Ave. W #100, Vienna, VA 22180 2014-07-09
1881020568 Albert Juan Garcia Obstetrics & Gynecology 926 Fairway Dr., N.e., Vienna, VA 22180 2013-09-25
1295174662 Sallie Twentyman Social Worker 129 Park St Ne Ste 12b, Vienna, VA 22180 2013-06-19
1124390992 Gilda T. Clarke Counselor 133 Park St. Ne, Vienna, VA 22180 2012-02-08
1740573898 Metro Eyes LLC Technician/Technologist 256 E Maple Avenue, Vienna, VA 22180 2011-05-24
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Taxonomy Information

Taxonomy Code 261QS0112X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225425465 Integrative Implant Services, LLC Clinic/Center 6845 Elm. St., Ste. 225, Mclean, VA 22102-3834 2015-04-24
1235424557 Fredericksburg Regional Oral Surgery Center Inc Clinic/Center 210 Executive Center Pkwy, Fredericksburg, VA 22401-3107 2011-06-15
1538629134 Eric J Smith Dds PC Clinic/Center 22525 Timberlake Rd, Lynchburg, VA 24502-7307 2019-03-21
1922579796 Eric J Smith Dds PC Clinic/Center 22525 Timberlake Rd, Lynchburg, VA 24502-7307 2018-12-05
1124572417 Isle of Wight Family & Cosmetic Dentistry PC Clinic/Center 4053 Taylor Rd, Suite J, Chesapeake, VA 23321-5537 2016-08-04
1386050532 Tristate Oral Surgery Plc Clinic/Center 5659 Columbia Pike, Suite 100, Falls Church, VA 22041-2878 2014-07-09
1831526995 Northern Virginia Center for Oral and Facial Surgery Clinic/Center 4211 Fairfax Corner Ave E, Suite 235, Fairfax, VA 22030-8622 2013-10-03
1215292255 Paul E. Prillaman, IIi, Dds, Plc Clinic/Center 905 Battlefield Blvd N, 101, Chesapeake, VA 23320-4875 2012-07-05
1891068417 Middle Peninsula Oral and Facial Surgery LLC Clinic/Center 7547 Medical Dr, Gloucester, VA 23061-4351 2012-02-13
1386818136 Drs. Gold and Abbott, Ltd. Clinic/Center 1940 Braeburn Dr, Salem, VA 24153-7383 2008-04-14
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Competitor

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City VIENNA
Zip Code 22180

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Dataset Information

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.

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