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DR. DANIEL LEE BONDRA DDS NPI 1669551834


NPI Information

NPI: 1669551834
Provider Name: DR. DANIEL LEE BONDRA, DDS
Classification: Dentist - 1223E0200X
Entity Type: Individual

Specialization: Endodontics

Address:
201 S MCPHERSON CHURCH RD
SUITE 102
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 485-3636
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DR. Daniel Lee Bondra, DDS is an endodontics dentist in Fayetteville, NC. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. DR. Daniel Lee Bondra, DDS NPI is 1669551834. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 S MCPHERSON CHURCH RD
SUITE 102
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 485-3636
Fax: (910) 222-9401

The enumeration date for this NPI number is 11/6/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics6654NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19000TOTHERNORTH CAROLINABCBS
2899000TMEDICAIDNORTH CAROLINA
3708042OTHERNORTH CAROLINAUNITED CONCORDIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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