Julia Bonks, D.D.S.
Individual provider Active NPI Pediatric Dentistry · Derby, CT
NPI 1780835637 · NPPES record last updated Dec 7, 2015
Key facts
- NPI
- 1780835637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 011125 (CT)
- Practice address
- 36 Division St
Derby, CT 06418-1447 - Phone
- (551) 206-9205
- NPI assigned
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 011125 | CT | MD | Pediatric Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 011125 | CT | Yes |
Addresses
Primary practice location
36 Division St
Derby, CT 06418-1447
Mailing address
36 Division St
Derby, CT 06418-1447
Phone (551) 206-9205
Other providers in Derby, CT
- Domenic Michael Biello Jr.
- Paule Bien-Aime
- Grace Yang Biggs
- BJ'S Wholesale Club Inc.
- Edwin Blanco de Brand
- Annette Bonomo
- Mihaela Boran
- Jessica Borges
- Gregory Boris
- Kimberly Aine Bottone
All providers in Derby, CT · Pediatric Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2015. 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.