BONITA SONRISA DENTAL MSO (NPI# 1790325884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790325884 |
| Entity Type | Organization |
| Organization Name | BONITA SONRISA DENTAL MSO |
| Practice Address |
1624 Dr Martin L King Jr Blvd Bronx NY 10453-6948 |
| Practice Telephone | 8457934469 |
| Practice Fax Number | 7184508991 |
| Mailing Telephone | 8457934469 |
| Mailing Fax Number | 7184508991 |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |
| Authorized Official Name | DR. ALEJANDRO WILLIAMS (PRESIDENT) |
| Authorized Official Telephone | 8457934469 |
| Authorized Official Credential | D.D.S |
| Is Organization Subpart | Y |
| Parent Organization Name | BONITA SONRISA DENTAL IPA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MSO | 0455601 | 01 |
| NY | IPA | 0455601 | 01 |
| NY | 1223D0001X | 05 | |
| NY | IPA | 1700343233 | 01 |
| Other Name | Type Code |
|---|---|
| BONITA SONRISA DENTAL MSO | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BONITA SONRISA DENTAL MSO, INC. | 1624 Dr. Martin Luther King Jr, Bronx, New York 10453 |
| Street Address |
1624 DR MARTIN L KING JR BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10453-6948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700343233 | Bonita Sonrisa Dental Ipa | Dentist | 1624 Dr Martin L King Jr Blvd, Bronx, NY 10453-6948 | 2019-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1033745849 | Jennifer Vargas | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-03-13 |
| 1457985038 | John Steven Contreras | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-02-24 |
| 1538799648 | Ari Warshawsky | Counselor | Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 | 2020-01-17 |
| 1407403413 | Cristaly Williams | Behavioral Analyst | 2105 Jerome Avenue, Bronx, NY 10453 | 2019-08-23 |
| 1770041204 | Yei Won Lee | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 | 2019-03-04 |
| 1265905517 | William Alexander Jones Jr. | Behavior Technician | 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 | 2019-01-09 |
| 1154810737 | Emily Patricia Mitchell | Occupational Therapist | 2105 Jerome Ave, Bronx, NY 10453 | 2018-05-09 |
| 1417445149 | Ashna N Shah | Student in an Organized Health Care Education/Training Program | Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 | 2018-04-27 |
| 1700384328 | Kevin Ponce Obate | Physical Therapist | 1975 University Ave, Bronx, NY 10453 | 2018-01-29 |
| Find all providers in zip 10453 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700343233 | Bonita Sonrisa Dental Ipa | Dentist | 1624 Dr Martin L King Jr Blvd, Bronx, NY 10453-6948 | 2019-02-20 |
| 1891845848 | John Thomas Morrow | Dentist | 545 E 142nd St, Bronx, NY 10454-2110 | 2007-01-11 |
| 1730268970 | Victor Badner | Dentist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2006-11-06 |
| 1710947932 | Jeannine Lori Weiss | Dentist | 234 E 149th St, Lincoln Hospital Dental Department, Bronx, NY 10451-5504 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1205490182 | East 4th Street Dental Pllc | Dentist | 101 East 4th Street, New York, NY 10003 | 2019-04-26 |
| 1306181847 | David S. Wiener D.d.s. & Robert L. Wagner Dmd P.ll.c. | Dentist | 200 East Main St., Suite 4e, Smithtown, NY 11787 | 2012-12-11 |
| 1134410822 | Richard Diamond | Dentist | 630 W 168th St # 20, New York, NY 10032-3725 | 2011-04-28 |
| 1871727131 | Tribeca Dental Studio | Dentist | 54 Warren Street, Tribeca Dental Studio, Nyc, NY 10007 | 2009-05-14 |
| 1841424496 | Mona Omran | Dentist | 1075 Central Park Ave., Suite 104, Scarsdale, NY 10583 | 2009-05-12 |
| 1841412574 | Gary M Peters | Dentist | 3525 Nostrand Ave, Brooklyn, NY 11229-5204 | 2007-05-03 |
| 1730309543 | Howard Tocker | Dentist | 20 Pasture Gate Ln, Delmar, NY 12054-4328 | 2007-04-26 |
| 1003946286 | James Thomas Duval | Dentist | 1134 Delaware Ave, Buffalo, NY 14209-1604 | 2007-03-06 |
| 1205987112 | Steven Edward Krauss | Dentist | 31 Frost Ln, Lawrence, NY 11559-1808 | 2007-01-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BONITA SONRISA DENTAL MSO.
| 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.