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NPI Code Detail

MEDICARE: THOMAS J BONO DDS PC

MEDICARE: THOMAS J BONO DDS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center11426MO

General Provider Information

NPI Number : 1598143711
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS J BONO DDS PC
Provider Business Mailing Address
First Line : 231 NW 72ND ST
Second Line :
City : GLADSTONE
State : MO
Zip : 64118-1821
Country : US
Telephone Number : 816-436-5900
Fax Number : 816-436-5985
Provider Business Practice Location Address
First Line : 231 NW 72ND ST
Second Line :
City : GLADSTONE
State : MO
Zip : 64118-1821
Country : US
Telephone Number : 816-436-5900
Fax Number : 816-436-5985
Authorized Official
Title or Position : MANAGER
Name : JOANNE FREW
Credential :
Telephone Number : 816-436-5900
Provider Enumeration Date : 05/07/2015
Last Update Date : 05/11/2015

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Directions to “THOMAS J BONO DDS PC ” Practice Location

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