National Provider Identifier
Timothy D Bonniwell, DMD
Timothy D Bonniwell, DMD is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Ithaca, NY and a listed phone number of (607) 266-8600.
Profile Overview
- NPI
- 1386622173
- Provider Type
- Individual
- Primary Specialty
- Oral and Maxillofacial Surgery (Dentist)
- Enumeration Date
- January 03, 2006
- Last Updated
- September 22, 2014
Practice Location
- 2377 N Triphammer RD
- Ithaca, NY 14850-1050
Phone: (607) 266-8600
Specialties
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
Full Record
- NPI
- 1386622173
- Entity Type
- Individual
- Last Name
- Bonniwell
- First Name
- Timothy
- Middle Name
- D
- Name Prefix
- Dr.
- Credential
- DMD
- Mailing Street Address
- 2377 N Triphammer RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1050
- Mailing Country
- US
- Mailing Phone
- (607) 266-8600
- Mailing Fax
- (607) 266-8603
- Practice Street Address
- 2377 N Triphammer RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1050
- Practice Country
- US
- Practice Phone
- (607) 266-8600
- Practice Fax
- (607) 266-8603
- Enumeration Date
- January 03, 2006
- Last Updated
- September 22, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Oral and Maxillofacial Surgery (Dentist) (1223S0112X)