Individual provider · Type 1 NPI

Andrew O. Bonavita, DMD

General Practice Dentistry · Longmeadow, MA

NPI number 1790890705 Active

Practice location

123 Dwight Rd
Longmeadow, MA 01106-1748

Fax (413) 565-2579

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X17903 (MA)

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 1790890705

Andrew O. Bonavita, DMD's National Provider Identifier is 1790890705, issued on Aug 20, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Longmeadow, MA. The record was last updated on Jul 8, 2007.