DR. FRED J BONACCI DMD
NPI 1558463240
Dentist - Periodontics in Plains, PA

Q: What is Fred Bonacci's NPI number?

The NPI number for Fred Bonacci is 1558463240. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Q: What is Fred Bonacci's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Fred Bonacci was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2006

672 S RIVER ST STE 209, PLAINS, PA 18705(570) 846-2300 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Fred J Bonacci Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FRED J BONACCI DMD (NPI 1558463240) is an individual periodontics provider in Plains, Pennsylvania, licensed in Pennsylvania (DS031389L) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1558463240

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. FRED J BONACCICredential: DMD

Location Address672 S RIVER ST STE 209Plains, PA 18705-1034

Mailing Address672 S River St Ste 209Plains, PA 18705-1034 · (570) 846-2300

Phone(570) 846-2300

Sole ProprietorNo

Enumeration DateSeptember 2, 2006

Last NPPES UpdateFebruary 8, 2018

✔ NPI 1558463240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

Licenses✔ Licensed in PA · DS031389L✔ Licensed in MA · 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 structures and tissues.

672 S RIVER ST STE 209, Plains, PA 18705

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fred Bonacci's NPI number?

The NPI number for Fred Bonacci is 1558463240. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Where is Fred Bonacci located?

Fred Bonacci practices at 672 S River St Ste 209, Plains, PA 18705. The listed phone number is (570) 846-2300.

What is Fred Bonacci's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Fred Bonacci was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.