Bonner, Paul Steven

Bonner, Paul Steven is an individual health care provider with primary practice located at 1 Eureka Cir Suite 103, Wichita Falls TX 76308-2929. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Dentist is his primary health care specialty. Bonner, Paul Steven can be contacted via phone (940) 691-5027.

Contact Information

Primary practice address
1 Eureka Cir Suite 103 Wichita Falls TX 76308-2929
Phone: (940) 691-5027
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 14022 Texas
Dental Providers / Pediatric Dentistry 1223P0221X 14022 Texas

Profile Details

NPI number 1407010457
LBN Legal business name Bonner, Paul Steven
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2008
Last updated Jul 17th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407010457 NPPES
Texas MEDICAID 126799902

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