Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDRIC L BONINE, DDS, MS, PC
Active Sole ProprietorDR. FREDRIC L BONINE, DDS, MS, PC is a Orthodontics & Dentofacial Orthopedics healthcare provider located in BRIGHTON, Michigan. NPI 1063440543 is currently active in the NPPES registry. Verify at CMS.
Orthodontics & Dentofacial Orthopedics · BRIGHTON, MI
Registration Details
- NPI Number
- 1063440543
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2006 (20.15718483058 yrs)
- Last Updated
- May 22, 2012
- License
-
2910112106 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6893 GRAND RIVER RDBRIGHTON, MI, 481149345Browse MI providers · Browse ZIP 48114
- Phone
- 8102299180
- Fax
- 8102291880
- Primary Specialty
-
Orthodontics & Dentofacial Orthopedics
1223P0106X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.