Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FRED J BONACCI, DMD
ActiveDR. FRED J BONACCI, DMD is a Periodontology healthcare provider located in PLAINS, Pennsylvania. NPI 1558463240 is currently active in the NPPES registry. Verify at CMS.
Periodontology · PLAINS, PA
Registration Details
- NPI Number
- 1558463240
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2006 (19.933734712311 yrs)
- Last Updated
- Feb 8, 2018
- Licenses
-
20145 (MA)DS031389L (PA)
Practice Information
- Address
-
672 S RIVER ST STE 209PLAINS, PA, 187051034Browse PA providers · Browse ZIP 18705
- Phone
- 5708462300
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
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.