Provider Demographics
NPI:1720316342
Name:MICHAEL E. BOND, DDS., PC
Entity Type:Organization
Organization Name:MICHAEL E. BOND, DDS., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:630-983-6605
Mailing Address - Street 1:200 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-4541
Mailing Address - Country:US
Mailing Address - Phone:630-983-6605
Mailing Address - Fax:630-983-9605
Practice Address - Street 1:200 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-4541
Practice Address - Country:US
Practice Address - Phone:630-983-6605
Practice Address - Fax:630-983-9605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190187221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty