Provider Demographics
NPI:1033387782
Name:BONDS, FREDERICK ROY JR (DDS)
Entity Type:Individual
Prefix:
First Name:FREDERICK
Middle Name:ROY
Last Name:BONDS
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 N MISSION ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-1050
Mailing Address - Country:US
Mailing Address - Phone:989-772-4223
Mailing Address - Fax:
Practice Address - Street 1:1231 N MISSION ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-1050
Practice Address - Country:US
Practice Address - Phone:989-772-4223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MID013565122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist