Provider Demographics
NPI:1255465092
Name:BONN, GEORGE E (LTD DDS)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:E
Last Name:BONN
Suffix:
Gender:M
Credentials:LTD DDS
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Mailing Address - Street 1:1701 N GREEN VALLEY PKWY
Mailing Address - Street 2:#2E
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074
Mailing Address - Country:US
Mailing Address - Phone:702-270-2999
Mailing Address - Fax:702-892-0555
Practice Address - Street 1:1701 N GREEN VALLEY PKWY
Practice Address - Street 2:#2E
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074
Practice Address - Country:US
Practice Address - Phone:702-270-2999
Practice Address - Fax:702-892-0555
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVS2191223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery