Organization
BONITA ENDODONTIC ASSOCIATES, PLLC
Active
Other names
Bonita Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN C. DEWSNUP DMD, MS (MEMBER)
(239) 498-7668
Entity
Organization
Contact information
Practice address
8899 TIMBERWILDE DR STE 3, BONITA SPRINGS, FL 34135-7896
(239) 498-7668
(239) 498-7630
Mailing address
8899 TIMBERWILDE DR STE 3, BONITA SPRINGS, FL 34135-7896
(239) 498-7668
(239) 498-7630
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN16186
FLORIDA BOARD OF DENTISTRY
FL
01
—
DN21501
FLORIDA BOARD OF DENTISTRY
FL
01
—
DN22368
FLORIDA BOARD OF DENTISTRY
FL
01
—
DN27423
FLORIDA BOARD OF DENTISTRY
FL
Enumeration date
02/24/2023
Last updated
02/24/2023
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