Healthcare Provider Details

I. General information

NPI: 1053043737
Provider Name (Legal Business Name): CELIA LILLIAN-CLAIRE JAMES DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CELIA LILLIAN-CLAIRE BONETT DMD

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8955 WOOD RD
BETHESDA MD
20889-5628
US

IV. Provider business mailing address

8955 WOOD RD
BETHESDA MD
20889-5628
US

V. Phone/Fax

Practice location:
  • Phone: 301-319-4676
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number27221
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: