Provider Demographics
NPI:1033231972
Name:DAVID A. BOND,DMD, PA
Entity Type:Organization
Organization Name:DAVID A. BOND,DMD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:856-931-6671
Mailing Address - Street 1:133 E KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:MOUNT EPHRAIM
Mailing Address - State:NJ
Mailing Address - Zip Code:08059-1339
Mailing Address - Country:US
Mailing Address - Phone:856-931-6671
Mailing Address - Fax:856-931-2116
Practice Address - Street 1:133 E KINGS HWY
Practice Address - Street 2:
Practice Address - City:MOUNT EPHRAIM
Practice Address - State:NJ
Practice Address - Zip Code:08059-1339
Practice Address - Country:US
Practice Address - Phone:856-931-6671
Practice Address - Fax:856-931-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ157421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty