Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679424055 Individual Practitioner Male Practitioner

Taylor Bonnewitz

Dentist - General Practice • Catoosa, OK

Professional Overview & Biography Verified Profile Summary

Taylor Bonnewitz is a registered healthcare professional specializing in Dentist - General Practice in Catoosa, OK. Practice services are available at 2036 S MILLER LN STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2036 S Miller Ln Ste B

Catoosa, OK 740151539

Telephone 9189377660

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Catoosa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Catoosa, OK (1496 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

CMS Verified: 2026-07-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OK 8249

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

9999 S Mingo Rd Ste S

Tulsa, OK 741335172

Phone: 9182687394

117 W Delaware Ave

Nowata, OK 740482616

Phone: 9188183382

409 E Main St

Locust Grove, OK 743525116

Phone: 9184003614

13000 S Memorial Dr

Bixby, OK 740082523

Phone: 9189954897

137 Steve Barry Blvd

Pryor, OK 743616841

Phone: 9187719397

Practice Associates & Co-Workers

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

6 Associated Practitioners
Dr. Roah Kelly , DMD

Dentist - General Practice

NPI 1033907423

Doctor of Dental Medicine

Dr. Austin Tolbert , DDS

Dentist - General Practice

NPI 1033953625

Doctor of Dental Surgery

Shaun Chacko

Dentist - General Practice

NPI 1427839315
Dr. Rafael Morales , DMD

Dentist - General Practice

NPI 1508541251

Doctor of Dental Medicine

NPI 1902596570

Doctor of Dental Medicine

Dr. Tyler Snyder , DMD

Dentist - General Practice

NPI 1932997327

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 06, 2026

Registered at 2036 S MILLER LN STE B, CATOOSA, OK 740151539 (Tel: 9189377660)

📍
Updated Business Mailing Address July 06, 2026

Registered at 2036 S MILLER LN STE B, CATOOSA, OK 740151539 (Tel: 9189377660)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2026

Dentist (License #8249 in OK)

NPI Profile Active February 03, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2026

Registered at 33939 E 129TH ST S, COWETA, OK 744293930 (Tel: 9185105988)

📍
Updated Business Mailing Address February 03, 2026

Registered at 33939 E 129TH ST S, COWETA, OK 744293930

👤
Provider Name / Credentials Updated February 03, 2026

Recorded as TAYLOR BONNEWITZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2026

Dentist (License #STUDENT in OK)

🟢
Initial NPI Registration & Enumeration February 03, 2026

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: 1679424055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2026
Last Update: July 06, 2026
Sole Proprietor: Yes

Mailing Address

2036 S Miller Ln Ste B

Catoosa, OK 740151539

Phone: 9189377660

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.