Healthcare Provider Details

I. General information

NPI: 1801984141
Provider Name (Legal Business Name): TEODORA T BONNEY DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13022 PEARL RD
STRONGSVILLE OH
44136-3446
US

IV. Provider business mailing address

10965 NW 71ST CT
PARKLAND FL
33076-3809
US

V. Phone/Fax

Practice location:
  • Phone: 440-238-0770
  • Fax:
Mailing address:
  • Phone: 717-433-4779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number30.028379
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: