Gulf Coast Endodontic Associates, LLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

GULF COAST ENDODONTIC ASSOCIATES, LLC

Practice address

460 Security SQ
Gulfport, MS 39507-1952

Phone

(228) 265-7061

Fax

(228) 254-1342

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Scott Bonson, DDSNPI 1063638054

Title

Owner

Phone

(228) 265-7061

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott E Bonson, D.D.S.

  • Endodontics
  • Slidell, LA
  • NPI 1063638054
  NPD Authorized official

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1760959647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071922",
            "telephone_number": "228-265-7061",
            "fax_number": "228-254-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071952",
            "telephone_number": "228-265-7061",
            "fax_number": "228-254-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST ENDODONTIC ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "BONSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-265-7061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Dental Care, PLLC
• Gulf Coast Dental Center
• Gulf Coast Dermatology, PA
• Gulf Coast Ear Nose and Throat Associates, LLC
• Gulf Coast Endocrinology
• Gulf Coast Imaging
• Gulf Coast Interventional Pain Management Clinic, Inc
• Gulf Coast Interventional Pain Management Clinic, Inc.
• Gulf Coast Limb & Brace
• Gulf Coast Lung and Sleep Medicine Institute, LLC

• Endodontics in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Endodontics in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.