Search › South Carolina › 1223E0200X
Joseph Bonavilla, D.D.S
NPI 1205045382 · on the registry since 2007 · sole proprietor
Practice
- Address
- 888 Cook Rd
Orangeburg, SC 29118 - Phone
- (803) 516-0777
- Fax
- (803) 516-0577
- Organisation at this address
- Central Carolina Endodontics Pa
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223E0200X
1223E0200X
- Also registered as
- 1223E0200X
1223E0200X
1223E0200X
1223E0200X - Licence states on file
- SC, GA, NY, WV, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina