IndividualActive
Christopher Bonacci, D.D.S., M.D.
NPI 1609211325 · Oral and Maxillofacial Surgery (Dentist) · Vienna, VA
Provider details
- NPI number
- 1609211325
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S., M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0401102631 (VA)
Practice location
361 Maple Ave W
Vienna, VA 22180-4304
Phone: (703) 255-9400
Fax: (703) 255-4958
Mailing address
361 Maple Avenue W.
Vienna, VA 22180
Registry dates
- Enumerated
- 2013-05-08
- Last updated
- 2013-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.