Garey a Bonner DMD PA

Primary specialty

DentistTaxonomy code 122300000X

License

191981 Issued in MS

Legal business name

GAREY A BONNER DMD PA

Practice address

806 Mississippi Dr
Waynesboro, MS 39367-0482

Phone

(601) 735-5086

Fax

(601) 735-5086

NPI assigned

Nov 7, 2006

Last updated

Jan 16, 2013By 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. Garey Allen Bonner, DMDNPI 1164851796

Title

Owner

Phone

(601) 735-5086

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Garey A Bonner Sr., DMD,PA

  • General Practice Dentistry
  • Waynesboro, MS
  • NPI 1164851796
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1114096856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 482",
            "address_2": "806 MISSISSIPPI DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393670482",
            "telephone_number": "601-735-5086",
            "fax_number": "601-735-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 MISSISSIPPI DR",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393670482",
            "telephone_number": "601-735-5086",
            "fax_number": "601-735-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAREY A BONNER DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "GAREY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-735-5086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "191981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kamario Granger, FNP
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• Dentist in Waynesboro, MS
• Providers in Waynesboro, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.