OrganizationActive
Christopher E. Bonacci DDS MD PC
NPI 1720006661 · Oral and Maxillofacial Surgery Clinic/Center · Vienna, VA
Provider details
- NPI number
- 1720006661
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Bonacci, President(703) 255-9400
- License
- 0401102631 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
361 Maple Ave W
Suite 200
Vienna, VA 22180-4304
Phone: (703) 255-9400
Street-level locationGet directions
Mailing address
361 Maple Ave W
Vienna, VA 22180-4304
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2011-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.