Provider Demographics
NPI:1790729598
Name:BONDI, JOSEPH STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:STEVEN
Last Name:BONDI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 687
Mailing Address - Street 2:
Mailing Address - City:MONON
Mailing Address - State:IN
Mailing Address - Zip Code:47959-0687
Mailing Address - Country:US
Mailing Address - Phone:219-253-6512
Mailing Address - Fax:
Practice Address - Street 1:115 W. FOURTH ST.
Practice Address - Street 2:
Practice Address - City:MONON
Practice Address - State:IN
Practice Address - Zip Code:47959
Practice Address - Country:US
Practice Address - Phone:219-253-6512
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN120089641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice