Individual provider · Type 1 NPI
Timothy D. Bonniwell, DMD
Oral and Maxillofacial Surgery (Dentist) · Ithaca, NY
NPI number
1386622173
Active
Practice location
2377 N Triphammer Rd
Ithaca, NY 14850-1050
Fax (607) 266-8603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 053673-1 (NY) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Ithaca
About NPI 1386622173
Timothy D. Bonniwell, DMD's National Provider Identifier is 1386622173, issued on Jan 3, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Ithaca, NY. The record was last updated on Sep 22, 2014.