Individual provider · Type 1 NPI

Trevor S. Bonilla, DDS, M.S., P.A.

Orthodontics and Dentofacial Orthopedics Dentistry · Coppell, TX

NPI number 1992929665 Active

Practice location

137 W. State Highway 121, Suite 105
Coppell, TX 75019

Fax (972) 459-9300

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X19752 (TX)

Orthodontics and Dentofacial Orthopedics Dentistry: 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 funct…

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About NPI 1992929665

Trevor S. Bonilla, DDS, M.S., P.A.'s National Provider Identifier is 1992929665, issued on Apr 12, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Coppell, TX. The record was last updated on Feb 24, 2023.