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

Dr. Justin Drew Bonner, DDS

Individual provider Dentist · NPI 1205240371

Dr. Justin Drew Bonner, DDS is a Dentist in Lubbock, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in California and Texas.

Licensed in
CA, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3234 64th St Ste B
Lubbock, TX 79413-5761
Phone: (806) 722-3637
Fax: (806) 722-3638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4 Hospital Dr, Abilene, TX 79606-5289 — (325) 437-3100

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 31701 (TX)
Dentist Taxonomy 122300000X · Licence 62320 (CA)

Record details

NPI number1205240371
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 17, 2014
Last updated in NPPESJune 25, 2024
Certification dateMay 21, 2024
Mailing address3234 64th St Ste B, Lubbock, TX 79413-5761

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