Dr. Justin Bonvallet, DMD
Dr. Justin Bonvallet, DMD is a Dentist in Byron, Illinois. Licensed in Illinois and Wisconsin. Registered with an NPI since 2006.
- Licensed in
- IL, WI
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
132 N Walnut StByron, IL 61010-8807
Phone: (815) 234-4211
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 019027531 (IL) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 6041 (WI) |
Record details
| NPI number | 1316018708 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | November 10, 2006 |
| Last updated in NPPES | January 18, 2011 |
| Mailing address | 132 N Walnut St, Byron, IL 61010-8807 |