Gregg S. Bonamici DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GREGG S. BONAMICI DDS, PC

Practice address

23601 Ford Rd Ste 2
Dearborn, MI 48128-1259

Phone

(313) 565-8544

NPI assigned

Aug 23, 2022

Last updated

Aug 23, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregg Stuart Bonamici, DDSNPI 1568643872

Title

Dentist

Phone

(313) 565-8544

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregg Stuart Bonamici, DDS

  • General Practice Dentistry
  • Dearborn, MI
  • NPI 1568643872
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1629797758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9780 HAWTHORNE GLEN DR",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381686",
            "telephone_number": "734-552-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23601 FORD RD STE 2",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281259",
            "telephone_number": "313-565-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGG S. BONAMICI DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "BONAMICI",
        "authorized_official_first_name": "GREGG",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "313-565-8544",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Greenshields, PH.D.
• Greenwarren Family Clinic
• Phoenix Greenwood-Haller
• Cheryl Lynn Greer, LMSW
• Devin Greer
• Jaylin Dion Gregory
• Silke Greil, MD
• Jessica Starr Grevenstuk, NP
• Jamaica Grey
• Jonathan S Grey, MD

• Dentist in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.