Provider Demographics
NPI:1558471698
Name:BONASSO, FRANKLIN S (DDS)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:S
Last Name:BONASSO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3200 RED RIVER ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-2660
Mailing Address - Country:US
Mailing Address - Phone:512-320-1640
Mailing Address - Fax:512-320-1643
Practice Address - Street 1:3200 RED RIVER ST
Practice Address - Street 2:SUITE 400
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-2660
Practice Address - Country:US
Practice Address - Phone:512-320-1640
Practice Address - Fax:512-320-1643
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2020-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX185151223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery