| Bonham Dental Arts | |
|
12720 Ulmerton Rd Largo FL 33774-3601 | |
| (727) 581-1869 | |
| (727) 581-2087 |
| Full Name | Bonham Dental Arts |
|---|---|
| Speciality | Dentist |
| Location | 12720 Ulmerton Rd, Largo, Florida |
| Authorized Official Name and Position | James Carey Bonham (OWNER) |
| Authorized Official Contact | 7275811869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonham Dental Arts 12720 Ulmerton Rd Largo FL 33774-3601 Ph: (727) 581-1869 | Bonham Dental Arts 12720 Ulmerton Rd Largo FL 33774-3601 Ph: (727) 581-1869 |
| NPI Number | 1295172195 |
|---|---|
| Provider Enumeration Date | 05/31/2013 |
| Last Update Date | 05/31/2013 |
| Medicare PECOS PAC ID | 5193959393 |
|---|---|
| Medicare Enrollment ID | O20131001000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295172195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN17527 (Florida) | Primary |
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