DR. DAVID BYRON BONEBREAK (NPI# 1902102254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902102254 |
Entity Type | Individual |
Full Name | DR. DAVID BYRON BONEBREAK |
Credential | D.D.S. M.S. |
Practice Address |
7556 Teague Rd Ste 106 Hanover MD 21076-1969 |
Mailing Address |
12240 Pleasant Springs Ct Fulton MD 20759-9647 |
Practice Telephone | 4107998220 |
Mailing Telephone | 4439565814 |
Enumeration Date | 2011-02-03 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
14232 | MD | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
12230 Clarksville Pike, Suite M, Clarksville, MD 21029 | 4103811077 | |
8191 Maple Lawn Blvd Ste E, Fulton, MD 207592535 | 4103811077 | |
8640 Guilford Rd, Suite 233, Columbia, MD 210462655 | 4103811077 |
Street Address |
7556 TEAGUE RD STE 106 |
City | HANOVER |
State | MD |
Zip Code | 21076-1969 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023500766 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7706 Milestone Pkwy, Hanover, MD 21076 | 2018-05-30 |
1598287419 | Robert Ehrhardt | Social Worker | 7801 Nauitan Ct, Hanover, MD 21076 | 2017-07-12 |
1639699630 | Andrea K Kamara | Registered Nurse | 7566 Teague Road, Hanover, MD 21076 | 2017-06-21 |
1093265878 | Maryland Partnership for Prevention Inc | Allergy & Immunology | 7467 New Ridge Road, Suite 130, Hanover, MD 21076 | 2016-10-05 |
1720460678 | Michael David Berger | Podiatrist | 7240 Parkway Dr Ste 350, Hanover, MD 21076 | 2015-06-26 |
1306254941 | Eyefit Vision Centers | Optometrist | 7550 Teague Road, Suite 114, Hanover, MD 21076 | 2014-07-28 |
1972917813 | Jeongwon Shin | Psychiatry & Neurology | 7257 Parkway Dr Ste 250, Hanover, MD 21076 | 2014-06-18 |
1487070868 | Tywanna Hamilton | Nurse Practitioner | 7556 Teague Rd Ste 210, Hanover, MD 21076 | 2014-03-10 |
1891127866 | Elyce D. Millery | Dentist | 7581 Buckingham Blvd Ste 100, Hanover, MD 21076 | 2013-08-01 |
1588990725 | Katoya Lee | Nurse Practitioner | 7698 Dorchester Blvd Ste 204, Hanover, MD 21076 | 2009-10-22 |
Find all providers in zip 21076 |
Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003439449 | Emily Sachs | Dentist | 247 Hanover St, Hanover, MA 02339-2208 | 2020-05-20 |
1497020275 | Jason Shoe | Dentist | 141 Wilson Ave, Suite E, Hanover, PA 17331-1469 | 2012-03-13 |
1174723001 | Gregory Baker | Dentist | 18 Buck Rd, Hanover, NH 03755-2700 | 2007-07-19 |
1073650198 | Harold J Cohen | Dentist | 135 E Elm Ave, Hanover, PA 17331-1813 | 2007-01-30 |
1396769733 | Fred W. Salvatoriello Dmd Pa | Dentist | 3 Summer St, Hanover, NH 03755-2121 | 2006-07-27 |
1609427236 | Donnelly Orthodontics, Inc | Dentist | 20 East St, Hanover, MA 02339-1638 | 2019-09-25 |
1871057968 | Baker Orthodontics Pllc | Dentist | 18 Buck Rd, Hanover, NH 03755-2700 | 2019-01-23 |
1437645918 | David R. Ross Dds, PC | Dentist | 135 E Elm Ave, Hanover, PA 17331-1813 | 2018-07-08 |
1144540568 | Thomas Obert Olson | Dentist | 250 Fame Ave, Suite 206, Hanover, PA 17331-1587 | 2010-06-08 |
1306054366 | Hanover Orthodontics, P.C. | Dentist | 235 Hanover St, Hanover, MA 02339-2208 | 2007-05-21 |
Find all providers in HANOVER |
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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.