Active NPI 1720124324 Individual Practitioner Female Practitioner

Bonnie Jean Devall , LICENSED DENTURIST

Denturist • Twin Falls, ID

Professional Overview & Biography Verified Profile Summary

Bonnie Devall, LICENSED DENTURIST is a registered healthcare professional specializing in Denturist in Twin Falls, ID. Practice services are available at 507 MAIN AVE W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

507 Main Ave W
Suite B

Twin Falls, ID 83301

Telephone 2087332374

Specialty Benchmarks & Practice Insights

Comparative analytics for Denturist in Twin Falls, ID

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Twin Falls, ID (32 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

Denturist Primary Specialty

NUCC Taxonomy Code: 122400000X

State License ID LD18

A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001191300 (ID)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 507 MAIN AVE W, SUITE B, TWIN FALLS, ID 83301 (Tel: 2087332374)

📍

Updated Business Mailing Address July 08, 2007

Registered at 507 MAIN AVE W SUITE B, MAIN WEST DENTURE CLINIC, TWIN FALLS, ID 83301 (Tel: 2087332374)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BONNIE DEVALL, LICENSED DENTURIST

🎓

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

Denturist (License #LD18 in ID)

🟢

Initial NPI Registration & Enumeration January 30, 2007

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: 1720124324

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 30, 2007

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

507 Main Ave W Suite B, Main West Denture Clinic

Twin Falls, ID 83301

Phone: 2087332374

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.