Individual provider · Type 1 NPI
Fred J. Bonacci, DMD
Periodontics · Plains, PA
NPI number
1558463240
Active
Practice location
672 S River St Ste 209
Plains, PA 18705-1034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics | 1223P0300X | 20145 (MA) |
| Periodontics Primary | 1223P0300X | DS031389L (PA) |
Periodontics: 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 structures and tissues.
About NPI 1558463240
Fred J. Bonacci, DMD's National Provider Identifier is 1558463240, issued on Sep 2, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Plains, PA. The record was last updated on Feb 8, 2018.