# LONGHORN RANCH ORAL AND MAXILLOFACIAL SURGERY PC

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

## Provider details

- **NPI number:** 1831546407
- **Authorized official:** JONATHAN BONNET MD, DDS (PRESIDENT)
- **Authorized official phone:** (214) 226-3980

## Contact information

- **Practice address:** 3610 CAPITAL AVE SW, BATTLE CREEK, MI 49015-9354
- **Practice address phone:** (269) 965-1339
- **Mailing address:** 3610 CAPITAL AVE SW, BATTLE CREEK, MI 49015-9354
- **Mailing address phone:** (269) 965-1339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2901020237 | MI | Yes |

## Other

- **Enumeration date:** 05/24/2016
- **Last updated:** 10/14/2016