OrganizationActive
Bonvallet Dental, PC
NPI 1912265133 · Dental Clinic/Center · Byron, IL
Provider details
- NPI number
- 1912265133
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Bonvallet, Dentist/President(815) 234-4211
- License
- 019027531 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
132 N Walnut St
Byron, IL 61010-8807
Phone: (815) 234-4211
Street-level locationGet directions
Mailing address
132 N Walnut St
Byron, IL 61010-8807
Registry dates
- Enumerated
- 2012-04-25
- Last updated
- 2012-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.