Dr. Bonnie Misiak
Dental Hygienist Dental Public Health
115 K D Revell Rd
Wauchula
, Florida 33873-2051
Dr. Bonnie Misiak
Dental Hygienist Dental Public Health
115 K D Revell Rd
Wauchula
, Florida 33873-2051
(863) 773-4161
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About
Features
Specialties
- Dental Public Health
- Dental Hygienist
Languages spoken
- English
Location
First Address
- Dr. Bonnie Misiak
- 115 K D Revell Rd
- Wauchula, FL
- Zip : 33873-2051
- Phone : (863) 773-4161
Second Address
- Dr. Bonnie Misiak
- 115 K D Revell Rd
- Wauchula, FL
- Zip : 33873-2051
- Phone : (863) 773-4161
Reviews
FAQs
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What type of doctor is Dr. Bonnie Misiak
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Is Dr. Bonnie Misiak a sole practitioner?
Is Dr. Bonnie Misiak accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | DN16641 | FL |
| N | 124Q00000X | Dental Hygienist | DH17043 | FL |
National Provider Identifier
| NPI | 1699877860 |
|---|---|
| Provider Name | Dr. Bonnie Misiak |
| First Address | Wauchula, FL 33873-2051 |
| Second Address | Wauchula, FL 33873-2051 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 07/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 027924211 | (05) | FL |
| DH17043 | DH LICENSE (01) | FL |
| DN16641 | DDS LICENSE (01) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.