Justin K Bonaventure Dental Offices, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JUSTIN K BONAVENTURE DENTAL OFFICES, LLC

Doing business as

Bonaventure Dental Care

Practice address

13431 Tiger Bend Rd
Baton Rouge, LA 70817-4518

Phone

(225) 753-0123

NPI assigned

Apr 28, 2020

Last updated

Feb 27, 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. Justin Bonaventure, DDSNPI 1376873828

Title

Owner/President

Phone

(225) 936-3933

Specialties & licenses 1

Addresses

Other names 1

• Bonaventure Dental Care 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.

• Justin Keith Bonaventure, D.D.S.

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1376873828
  Authorized official Same address or phone
• Michael L. Vincent, D.D.S.

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1790888980
  NPD (past)

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1659992865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13431 TIGER BEND RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708174518",
            "telephone_number": "225-753-0123",
            "fax_number": "225-753-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13431 TIGER BEND RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708174518",
            "telephone_number": "225-753-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN K BONAVENTURE DENTAL OFFICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "BONAVENTURE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "225-936-3933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonaventure Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.