Provider Demographics
NPI:1134268386
Name:FREDERICK BONDS DDS PC
Entity type:Organization
Organization Name:FREDERICK BONDS DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:BONDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:989-772-4223
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:1231 NORTH MISSION ST
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48804-0249
Mailing Address - Country:US
Mailing Address - Phone:989-772-4223
Mailing Address - Fax:989-779-9433
Practice Address - Street 1:1231 NORTH MISSION ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858
Practice Address - Country:US
Practice Address - Phone:989-772-4223
Practice Address - Fax:989-779-9433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MID013565122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty