Provider Demographics
NPI:1891259081
Name:BOND BOND PLLC
Entity Type:Organization
Organization Name:BOND BOND PLLC
Other - Org Name:BOND FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:360-789-3472
Mailing Address - Street 1:4608 DOGWOOD DR STE A
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98203-2000
Mailing Address - Country:US
Mailing Address - Phone:360-789-3472
Mailing Address - Fax:
Practice Address - Street 1:4608 DOGWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2000
Practice Address - Country:US
Practice Address - Phone:425-258-2633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDentalGroup - Single Specialty