NPI 1063638054

Scott E Bonson, DDS

Practitioner Endodontics Slidell, LA

Practice location

Address: 190 Cross Gates Blvd, Slidell, LA 70461-4179
Phone: (985) 649-4881

Registered specialties

Endodontics Primary

Dental Providers Taxonomy 1223E0200X Licence 5169 (LA)

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Registry record

NPI: 1063638054
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2007
Record last updated: 28 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.