Individual provider · Type 1 NPI

Tanya Bonicelli, DDS

General Practice Dentistry · Fargo, ND

NPI number 1770744690 Active

Practice location

4302 13th Ave S
Fargo, ND 58103-3395

Call (701) 277-3269 Map

Fax (701) 277-4994

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X2027 (ND)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1770744690

Tanya Bonicelli, DDS's National Provider Identifier is 1770744690, issued on Jun 23, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fargo, ND. The record was last updated on Oct 27, 2008.