Scott C. Bonin, DDS
Individual provider Active NPI General Practice Dentistry · Windsor, CA
NPI 1154513083 · NPPES record last updated Jul 22, 2022
Key facts
- NPI
- 1154513083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 49845 (CA)
- Practice address
- 100 Windsor River Rd
Windsor, CA 95492-9204 - Phone
- (707) 838-1400
- Fax
- (707) 838-1489
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49845 | CA | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott C. Bonin D.D.S. a Professional Denal Corporation | General Practice | Current |
Accepting new patients |
| Luke F Landeros, DDS, PC | General Practice | Past | Accepting new patients |
Locations
100 Windsor River Rd
Windsor, CA 95492
Phone (707) 838-1400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 49845 | CA | Yes |
Addresses
Primary practice location
100 Windsor River Rd
Windsor, CA 95492-9204
Mailing address
100 Windsor River Rd
Windsor, CA 95492-9204
Phone (707) 838-1400
Other providers in Windsor, CA
- Cibelle Aparicio
- Patricia Aston
- Stephanie Avellaneda
- Lori Barekman
- Jamila M Benn
- Stephen William Booth
- William David Bowden
- Jennifer L Bowen
- Chemarin Eve Boyd
- Paolo J Breschi
All providers in Windsor, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.