Bonanno Dental Corp.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BONANNO DENTAL CORP.

Doing business as

Anchor Dental & Implant Center

Practice address

11717 Bernardo Plaza CT Ste 100
San Diego, CA 92128-2419

Phone

(858) 673-1633

NPI assigned

May 5, 2026

Last updated

May 5, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Bonanno, DMDNPI 1811549918

Title

President / Owner

Phone

(858) 673-1633

Specialties & licenses 3

Addresses

Other names 1

• Anchor Dental & Implant Center Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Richard Bonanno, DMD

  • Dentist
  • San Diego, CA
  • NPI 1811549918
  NPD Authorized official
• Virginia Padua Mattson, DMD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1528125325
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1093642100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 BERNARDO PLAZA CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282419",
            "telephone_number": "858-673-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 BERNARDO PLAZA CT STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282419",
            "telephone_number": "858-673-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONANNO DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "BONANNO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "858-673-1633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Dental & Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chloe Anne Bomberger, M.D.
• Emily Bomberger
• Jeffrey Frank Bonadio, M.D.
• Liana Bonadio, RN
• Pranay Rag Bonagiri, DO
• David Richard Bonanno, DMD
• Tyra Bonanno
• Lily Bonart, L.AC
• Jaciara Bonato, RN
• Kendall Bonatus, PNP-AC

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.