# BONNESS DENTISTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346699857
- **Authorized official:** DR. RICHARD A. BONNESS DDS (DENTIST/OWNER)
- **Authorized official phone:** (812) 232-3263

## Contact information

- **Practice address:** 1225 OHIO ST, TERRE HAUTE, IN 47807-3923
- **Practice address phone:** (812) 232-3263
- **Practice address fax:** (812) 478-1401
- **Mailing address:** 1225 OHIO ST, TERRE HAUTE, IN 47807-3923
- **Mailing address phone:** (812) 232-3263
- **Mailing address fax:** (812) 478-1401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 12010300A | IN | — |
| 122300000X | Dentist | 12010488A | IN | Yes |

## Other

- **Enumeration date:** 06/06/2016
- **Last updated:** 06/06/2016