DR. JOSEPH DAVIN BONAVILLA


Address: 888 Cook Rd, Orangeburg, SC 29118-2126
Phone: 8035160777

DR. JOSEPH DAVIN BONAVILLA (NPI# 1205045382) 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) 1205045382
Entity Type Individual
Full Name DR. JOSEPH DAVIN BONAVILLA
Credential D.D.S.
Practice Address 888 Cook Rd
Orangeburg
SC 29118-2126
Practice Telephone 8035160777
Practice Fax Number 8035160577
Mailing Telephone 8035160777
Mailing Fax Number 8035160577
Enumeration Date 2007-05-22
Last Update Date 2007-10-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223E0200X Dentist
Specialization: Endodontics
0401411675 VA Dental Providers
N 1223E0200X Dentist
Specialization: Endodontics
3516 WV Dental Providers
N 1223E0200X Dentist
Specialization: Endodontics
50-051910 NY Dental Providers
N 1223E0200X Dentist
Specialization: Endodontics
DN013507 GA Dental Providers
Y 1223E0200X Dentist
Specialization: Endodontics
4305 SC Dental Providers

Office Location

Street Address 888 COOK RD
City ORANGEBURG
State SC
Zip Code 29118-2126

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083028617 Melanie Anne Brown Dentist 888 Cook Rd, Orangeburg, SC 29118-2126 2014-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386268175 Sharon Y Tremble Speech-Language Pathologist 222 Summit Parkway, Orangeburg, SC 29118 2020-06-08
1922658756 Orangeburg County School District Local Education Agency (LEA) 102 Founders Court, Orangeburg, SC 29118 2019-09-13
1710442967 Central Carolina Endodontics Pa Dentist 888 Cook Road, Orangeburg, SC 29118 2019-02-01
1821572009 Sharon Fogle Counselor 2319 Wt. Matthews Road, Orangeburg, SC 29118 2018-09-24
1104320001 South Carolina Surgical Pa Surgery 3045 St Matthews Road, Orangeburg, SC 29118 2018-03-23
1477056794 Palmetto Moon Anesthesia, LLC Anesthesiology 3045 St. Matthews Rd., Orangeburg, SC 29118 2018-03-13
1730691882 Bio-medical Applications of South Carolina, Inc. Clinic/Center 125 Kinard St, Orangeburg, SC 29118 2017-10-30
1154862746 Latasha Hott Nurse Practitioner 2323 St. Matthews Rd, Orangeburg, SC 29118 2017-03-15
1154786960 R Dale Padgett Md Pa Clinic/Center 1727 Villagepark Dr, Orangeburg, SC 29118 2015-12-21
1881977726 Ontime Transport LLC Non-emergency Medical Transport (VAN) 2851 Pelham Ct, Orangeburg, SC 29118 2011-09-27
Find all providers in zip 29118

Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710442967 Central Carolina Endodontics Pa Dentist 888 Cook Road, Orangeburg, SC 29118 2019-02-01
1083028617 Melanie Anne Brown Dentist 888 Cook Rd, Orangeburg, SC 29118-2126 2014-06-11
1063708410 Kool Smiles Sc-2, PC Dentist 1350 Grove Park Dr, Orangeburg, SC 29115-2455 2011-06-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1881007946 Intercoastal Endo, PC Dentist 4382 Oleander Dr, Myrtle Beach, SC 29577 2014-06-06
1568775468 Kool Smiles Sc-2, PC Dentist 5422 Forest Dr, Columbia, SC 29206-5412 2010-07-20
1992018899 Kool Smiles Sc-2, PC Dentist 4400 Dorchester Rd Ste 108, Charleston, SC 29405-6863 2010-07-20
1912230335 Omar James Jones IIi Dentist 237 Plantation Dr, Manning, SC 29102-9504 2009-09-16
1972733624 Robert P Bethea Dentist 34 Lakeview Cir, Columbia, SC 29206-3214 2009-07-15
1295975977 Jason H. Cohen, Dmd, LLC Dentist 198 Rutledge Ave Ste 3, Charleston, SC 29403-5834 2009-02-20
1508029554 Gavin L Criser Dentist 220 Cherokee Rd Ste B, Florence, SC 29501-5225 2008-07-09
1912188525 Michael Eugene Piepenbring Dentist 1109 Memorial Ln Ste B, Georgetown, SC 29440-3369 2007-11-26
1962600437 Michael John Pfister Dentist 101 Finley St, Clemson, SC 29631-1583 2007-07-06
1669692349 Walter R. Long Dentist 10 Farmfield Ave Ste E, Charleston, SC 29407-7756 2007-04-26
Find all providers with the same taxonomy

Competitor

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City ORANGEBURG
Zip Code 29118

Improve Information

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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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