IndividualActive
Fredric Bonine, DDS, MS, PC
NPI 1063440543 · Oral and Maxillofacial Pathology Dentistry · Brighton, MI
Provider details
- NPI number
- 1063440543
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DDS, MS, PC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2910112106 (MI)
Specialties & taxonomies
Dental Providers
Practice location
6893 Grand River Rd
Brighton, MI 48114-9345
Phone: (810) 229-9180
Fax: (810) 229-1880
Approximate (ZIP-level) locationGet directions
Mailing address
6893 Grand River Rd
Brighton, MI 48114-9345
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2012-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.