DR. SALVATORE MICHAEL BONANNO (NPI# 1780888313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780888313 |
| Entity Type | Individual |
| Full Name | DR. SALVATORE MICHAEL BONANNO |
| Credential | DDS |
| Practice Address |
137 Hathaway Rd New Bedford MA 02746-1304 |
| Mailing Address |
1090 Northchase Pkwy Se, Suite 290 Kool Smiles Support Services Office/ Ncdr, LLC Marietta GA 30067 |
| Practice Telephone | 9147470231 |
| Practice Fax Number | 9147471953 |
| Mailing Telephone | 6789045665 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2011-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
034267 | NY | Dental Providers |
| Street Address |
137 HATHAWAY RD |
| City | NEW BEDFORD |
| State | MA |
| Zip Code | 02746-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420888 | Khoa Anh Le | Dentist | 137 Hathaway Rd, New Bedford, MA 02746-1304 | 2020-06-05 |
| 1255574216 | Toni Arlene Waters | Dentist | 137 Hathaway Rd, New Bedford, MA 02746-1304 | 2009-04-07 |
| 1457513228 | Sridevi Duggirala | Dentist | 137 Hathaway Rd, New Bedford, MA 02746-1304 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588228670 | Drx Uc New Bedford PC | Family Medicine | 119 Coggeshall St, New Bedford, MA 02746 | 2019-04-24 |
| 1558845552 | Kim Marie Bigelow | Counselor | Hayden Mcfadden School, 361 Cedar Grove St, New Bedford, MA 02746 | 2018-09-17 |
| 1861814139 | Dr Dental of New Bedford PC | Dentist | 81 Coggeshall St, Suite B, New Bedford, MA 02746 | 2014-01-06 |
| 1184797375 | New England Evaluation Services | General Practice | 1173 Acushnet Ave, New Bedford, MA 02746 | 2006-11-16 |
| 1477648954 | Kool Smiles Mac, PC | Dentist | 137 Hathaway Road, New Bedford, MA 02746 | 2006-10-03 |
| 1376025791 | Sean Carreiro | Pharmacist | 1207 Acushnet Ave, New Bedford, MA 02746 | 2018-09-01 |
| 1861582918 | Daniel Joseph Schafft | Dentist | 137 Hathaway Road, New Bedford, MA 02746 | 2006-10-12 |
| 1982890794 | Jimmy Owens | Social Worker | 14 Shirley St, Unit C-1, New Bedford, MA 02746-1150 | 2007-09-15 |
| 1689040321 | Jamen Penney | Student in an Organized Health Care Education/Training Program | 833 Shawmut Ave, New Bedford, MA 02746-1315 | 2015-08-17 |
| 1275070286 | Online Therapy Association. Inc | Community/Behavioral Health | 833 Shawmut Ave, New Bedford, MA 02746-1315 | 2017-01-28 |
| Find all providers in zip 02746 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194818872 | Mark E Doherty | Dentist | 1155 Purchase St., New Bedford, MA 02740 | 2006-10-02 |
| 1033202783 | Southcoast Endodotics, P.C. | Dentist | 1155 Purchase Street, New Bedford, MA 02740 | 2006-10-02 |
| 1215366968 | Sherry Bloomfield | Dentist | 1155 Purchase St, New Bedford, MA 02740-6634 | 2013-11-04 |
| 1952538761 | New England Dental Specialists | Dentist | 758 Ashley Blvd, New Bedford, MA 02745-5546 | 2009-06-18 |
| 1639265127 | Katherine C Lacoste | Dentist | 1155 Purchase Street, New Bedford, MA 02740 | 2006-10-04 |
| 1629163290 | Danielle Lacoste Kilmartin | Dentist | 1155 Purchase Street, New Bedford, MA 02740 | 2006-10-03 |
| 1487749966 | Roger R Lacoste | Dentist | 1155 Purchase Street, New Bedford, MA 02740 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464603 | Thabet Housami | Dentist | 635 Albany Street G-201, Boston, MA 02118-2392 | 2020-10-12 |
| 1255954178 | Citidental Brookline Pllc | Dentist | 637 Washington St Ste 210, Brookline, MA 02446-4579 | 2020-05-27 |
| 1972135028 | Endodontic Center, P.C. | Dentist | 1256 Park St Ste 203, Stoughton, MA 02072-3745 | 2020-02-06 |
| 1497228498 | Westwood Dental Associates, LLC | Dentist | 541 High St Ste 3, Westwood, MA 02090-1628 | 2019-01-02 |
| 1720561459 | Omar Alkhattab | Dentist | 72 E Concord St Rm 318, Boston, MA 02118-2307 | 2018-09-10 |
| 1851892434 | Anne Lauren Koch | Dentist | 29 Lewis Bay Blvd, Suite 4, West Yarmouth, MA 02673 | 2018-02-28 |
| 1912407560 | Endodontic Care of Ma, P.C. | Dentist | 151 E Central St, Franklin, MA 02038-1439 | 2018-02-20 |
| 1366940389 | Glick & Ritch Endo North Andover PC | Dentist | 140 Willow St # 2, North Andover, MA 01845-5918 | 2018-01-24 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1588198667 | Rafael Carmona | Dentist | 1290 Tremont St Fl 2, Roxbury, MA 02120-3432 | 2017-04-17 |
| Find all providers with the same taxonomy | ||||
| City | NEW BEDFORD |
| Zip Code | 02746 |
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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.