Jeremy R Bonander
Dentist Anesthesiologist
716 N Country Club Rd
Tucson
, Arizona 85716
Jeremy R Bonander
Dentist Anesthesiologist
716 N Country Club Rd
Tucson
, Arizona 85716
(530) 300-7330
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About
Features
Specialties
- Dentist Anesthesiologist
Languages spoken
- English
Location
First Address
- Jeremy R Bonander
- 1505 W Saint Marys Rd # 178
- Tucson, AZ
- Zip : 85745-3107
- Fax : (530) 300-7330
- Phone : (208) 559-6122
Second Address
- Jeremy R Bonander
- 716 N Country Club Rd
- Tucson, AZ
- Zip : 85716
- Fax : (530) 300-7330
- Phone : (208) 559-6122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0004X | Dentist Anesthesiologist | D008861 | AZ |
National Provider Identifier
| NPI | 1780965046 |
|---|---|
| Provider Name | Jeremy R Bonander |
| First Address | Tucson, AZ 85745-3107 |
| Second Address | Tucson, AZ 85716 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2011 |
| Last Update Date | 18/10/2021 |
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.