Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Robert Lusk Bonham, DDSDENTIST

Individual provider Dentist · NPI 1952605560

Dr. Robert Lusk Bonham, DDSDENTIST is a Dentist in So Bend, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2010

Practice location Address checks out

1222 L.w.e
So Bend, IN 46601 Not confirmed with CMS for 15 years — call before visiting
Phone: (574) 287-3300
Fax: (574) 287-3301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6474 (IN)

Record details

NPI number1952605560
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSDENTIST
Sole proprietorYes
NPI enumeratedDecember 23, 2010
Last updated in NPPESDecember 23, 2010