Provider Demographics
NPI:1427244516
Name:ROTHWELL, BONNIE J (DMD)
Entity type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:J
Last Name:ROTHWELL
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HOSPITAL CENTER CMNS STE 200
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2842
Mailing Address - Country:US
Mailing Address - Phone:843-342-6900
Mailing Address - Fax:843-342-6901
Practice Address - Street 1:11 HOSPITAL CENTER CMNS STE 200
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-2842
Practice Address - Country:US
Practice Address - Phone:843-342-6900
Practice Address - Fax:843-342-6901
Is Sole Proprietor?:No
Enumeration Date:2007-09-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3422122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist