D.C. Bonadeo, D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2901011889 Issued in MI

Legal business name

D.C. BONADEO, D.D.S., P.C.

Practice address

751 Chestnut St
Suite 101
Birmingham, MI 48009-6461

Phone

(248) 647-2109

Fax

(248) 647-1804

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Charles Bonadeo, D.D.S.

Title

President

Phone

(248) 647-2109

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699985598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 CHESTNUT ST",
            "address_2": "SUITE 101",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096461",
            "telephone_number": "248-647-2109",
            "fax_number": "248-647-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 CHESTNUT ST",
            "address_2": "SUITE 101",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096461",
            "telephone_number": "248-647-2109",
            "fax_number": "248-647-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D.C. BONADEO, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONADEO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-647-2109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901011889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michele Denise Crammond, MA, TLLP
• Lisa Courtney Crystal, MED, ATR
• Bethany D Curtiss
• Nouha Dabish
• Laura Dale, LMSW
• Civita L Dangela-Wicks, CRNA
• Daniel D Mashni DDS
• James Michael Dankovich, D.C.

• Dental Clinic/Center in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.