Individual
JAMES PHILIP BONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6849 FAIRVIEW RD STE 200, CHARLOTTE, NC 28210-3664
(910) 520-5748
Mailing address
156 GREAT OAK DR, HAMPSTEAD, NC 28443-2142
(910) 520-5748
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12472
NC
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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