Jerry Bondurant, DDS

NPI 1902938863 · on the registry since 2007

Practice

Address: 1900 School St
Kanawha Dental Health Council Inc
Charleston, WV 25312
Phone: (304) 348-6613
Organisation at this address: Kanawha County Dental Health Council Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: WV
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia