Dr. 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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.