Fred J Bonacci is a Periodontics in Plains, Pennsylvania. Fred J Bonacci practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Fred J Bonacci is 1558463240. The last update date is 2018-02-08.
Fred J Bonacci's current location address is 672 S River St Ste 209, Plains, Pennsylvania. You can contact this provider via phone number 5708462300. The mailing address for Fred J Bonacci is 672 S River St Ste 209, Plains, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Fred J Bonacci |
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Address | 672 S River St Ste 209, Plains, Pennsylvania |
Phone Number | 5708462300 |
Fax Number | |
Sole Proprietor | N |
Credentials | DMD |
NPI Number Detail
NPI Number | 1558463240 |
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Provider Enumeration Date | 2006-09-02 |
Last Updated Date | 2018-02-08 |
Provider Mailing Address Detail
Address | 672 S River St Ste 209 |
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City | Plains |
State | Pennsylvania (PA) |
Post Code | 187051034 |
Phone Number | 5708462300 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Periodontics |
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Taxonomy | 1223P0300X |
Licence No | 20145 |
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code assigned to Fred J Bonacci by the Centers for Medicare & Medicaid Services?
The Fred J Bonacci has been issued the NPI (National Provider Identifier) 1558463240, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Fred J Bonacci's physical address?
The Fred J Bonacci is physically located at 672 S River St Ste 209, in the city of Plains, PA, with the postal code 187051034.
What is Fred J Bonacci's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Fred J Bonacci is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558463240 to Fred J Bonacci?
The Centers for Medicare & Medicaid Services assigned the 1558463240 to Fred J Bonacci on 2006-09-02.
As of what date were the Fred J Bonacci's details last updated?
The information pertaining to the Fred J Bonacci, including its address, specialty, and other details, was most recently updated on 2018-02-08.
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