Dr. Jerry Lee Bondurant
DDS | Dentist
1900 School St, Kanawha Dental Health Council Inc, Charleston
West Virginia, 25312-1524
304-348-6613 Maps & DirectionsDr. Jerry Lee Bondurant is a Charleston, West Virginia based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jerry Lee Bondurant is
1980 for Dentistry in West Virginia. His current practice location is
1900 School St, Kanawha Dental Health Council Inc, Charleston. Patients can reach him at
304-348-6613.
Dr. Jerry Lee Bondurant is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jerry Lee Bondurant speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Jerry Lee Bondurant |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1900 School St, Kanawha Dental Health Council Inc, Charleston,
West Virginia, 25312-1524 |
| Phone: | 304-348-6613 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1902938863 |
| NPI Enumeration Date: | 09 Mar, 2007 |
| NPI Last Update On: | 09 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jerry Lee Bondurant are as mentioned below.
| License Number | Specialization | State | Status | |
| 1980 | Dentistry | West Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jerry Lee Bondurant such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0012835000 | Medicaid | West Virginia | |
| 0133364000 | Medicaid | West Virginia | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 314 South St,
So Charleston, West Virginia |
| Zip: | 25303-1823 |
| Phone Number: | 304-744-6962 |
Patients can reach Dr. Jerry Lee Bondurant at
1900 School St, Kanawha Dental Health Council Inc, Charleston, West Virginia or can
call to book an appointment on 304-348-6613.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.