Provider Demographics
NPI:1538231741
Name:BONAPARTE, ERNESTO AVI (DDS)
Entity type:Individual
Prefix:DR
First Name:ERNESTO
Middle Name:AVI
Last Name:BONAPARTE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-1707
Mailing Address - Country:US
Mailing Address - Phone:315-393-0447
Mailing Address - Fax:315-393-7641
Practice Address - Street 1:221 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-1707
Practice Address - Country:US
Practice Address - Phone:315-393-0447
Practice Address - Fax:315-393-7641
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY448971223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice