Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164436705 Individual Practitioner Male Practitioner

Dr. Jonar R Bonifacio , DDS

Dentist • Alpine, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jonar Bonifacio, DDS is a registered healthcare professional specializing in Dentist in Alpine, CA. Practice services are available at 1620 ALPINE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1620 Alpine Blvd
#121

Alpine, CA 919011102

Telephone 6194458896
Fax 6194457339
Associated Practice Facility / Clinic
🏢 Cynthia L Jackson Dds Ms Inc Facility NPI 1962511659

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Alpine, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Alpine, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 47454

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Robert Krause , DDS

Dentist - General Practice

NPI 1144204934

Doctor of Dental Surgery

Dr. Samuel Dove , DDS

Dentist - General Practice

NPI 1477734614

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2017

Registered at 1620 ALPINE BLVD, #121, ALPINE, CA 919011102 (Tel: 6194458896)

📍
Updated Business Mailing Address April 26, 2017

Registered at 1620 ALPINE BLVD, #121, ALPINE, CA 919011102 (Tel: 6194458896)

👤
Provider Name / Credentials Updated April 26, 2017

Recorded as JONAR BONIFACIO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Dentist (License #47454 in CA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2397 FLETCHER PKWY, EL CAJON, CA 920202134 (Tel: 6194618080)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2397 FLETCHER PKWY, EL CAJON, CA 920202134 (Tel: 6194618080)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JONAR BONIFACIO, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #47454 in CA)

🟢
Initial NPI Registration & Enumeration July 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164436705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: April 26, 2017
Sole Proprietor: Yes

Mailing Address

1620 Alpine Blvd, #121

Alpine, CA 919011102

Phone: 6194458896

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.