Bonnie Lee McCleary, CDA, RDA

Primary specialty

Dental AssistantTaxonomy code 126800000X

License

22DP00517600 Issued in NJ

Practice address

1 Britton PL
Voorhees, NJ 08043-2514

Phone

(856) 785-0123

NPI assigned

Apr 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Bonnie Lee Polambi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1154612182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 VILLINGER AVE",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772933",
            "telephone_number": "856-785-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRITTON PL",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432514",
            "telephone_number": "856-785-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEARY",
        "first_name": "BONNIE",
        "middle_name": "LEE",
        "credential": "CDA, RDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NJ",
            "license": "22DP00517600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BONNIE",
            "last_name": "POLAMBI",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margaret McArthur, WHNP
• Marissa McBride
• Melissa McBride, APN
• Nicole Elizabeth McCabe, OTR/L
• Olivia McCammon, LPC, MT-BC, NCC
• Susan McClintock-Pattay
• Rachel A McClintock, APRN
• Alexis Marie McCollum, BSHS, MSOT, OTR/L
• Rasheed McCord, LPC
• James Michael McCrossin, ATC

• Dental Assistant in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Dental Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.