Kenneth Bonner is a South Gate, California based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Kenneth Bonner is
33215 for General Practice Dentistry in California. His current practice location is
4186 Tweedy Blvd, South Gate. Patients can reach him at
323-731-0801.
Kenneth Bonner is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Kenneth Bonner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Kenneth Bonner |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 4186 Tweedy Blvd, South Gate,
California, 90280-6159 |
| Phone: | 323-731-0801 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1831395425 |
| NPI Enumeration Date: | 21 Jun, 2007 |
| NPI Last Update On: | 21 Jul, 2014 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth Bonner are as mentioned below.
| License Number | Specialization | State | Status | |
| 33215 | General Practice Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth Bonner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 33215 | Medicaid | California | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 291982,
Los Angeles, California |
| Zip: | 90029-8982 |
| Phone Number: | 213-760-0801 |
Patients can reach Kenneth Bonner at
4186 Tweedy Blvd, South Gate, California or can
call to book an appointment on 323-731-0801.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.