Bonacci, Fred J
Bonacci, Fred J is an individual health care provider with primary practice located at 672 S River St Ste 209 , Plains PA 18705-1034. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Bonacci, Fred J can be contacted via phone (570) 846-2300.Contact Information
Primary practice address
672 S River St Ste 209
Plains PA 18705-1034
Phone: (570) 846-2300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 20145 | Massachusetts |
| Dental Providers / Periodontics | 1223P0300X | DS031389L | Pennsylvania |
Profile Details
| NPI number | 1558463240 |
|---|---|
| LBN Legal business name | Bonacci, Fred J |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Feb 8th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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