Bonita Dental Group PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BONITA DENTAL GROUP PLLC

Practice address

328 Newbury St
Boston, MA 02115-2715

Phone

(617) 536-5182

NPI assigned

Oct 23, 2020

Organization subpart

No

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

Authorized official

Name

William Herr, DDS

Title

Owner

Phone

(419) 438-4789

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1710586433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 NEWBURY ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021152715",
            "telephone_number": "617-536-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "HERR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-438-4789",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silvana Fiorella Bonilla, M.D.
• Xiomara Bonilla, RN
• Samantha Patricia Bonillas Felix
• Francesca Bonino, DDS
• Peter A Bonis, M.D.
• Meghan Patricia Bonk
• Anna Katharina Bonkhoff, MD
• Cayla Bonn
• James M Bonnar III, MD
• Meaghan Lyons Bonner

• Dentist in Boston, MA
• Providers in Boston, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.