Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David Richard Bonanno, DMD

Individual provider General Practice Dentistry · NPI 1811549918

Dr. David Richard Bonanno, DMD is a General Practice Dentistry in San Diego, California. Licensed in Colorado. Registered with an NPI since 2019.

Licensed in
CO
In the registry since
2019
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

11717 Bernardo Plaza Ct Ste 100
San Diego, CA 92128-2419
Phone: (858) 673-1633
Fax: (858) 673-0093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DEN.00203979 (CO)
General Practice Dentistry Taxonomy 1223G0001X · Licence DEN.00203979 (CO)

Record details

NPI number1811549918
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 10, 2019
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024

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