DR. DANIEL LEE BONDRA (NPI# 1669551834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669551834 |
| Entity Type | Individual |
| Full Name | DR. DANIEL LEE BONDRA |
| Credential | DDS |
| Practice Address |
201 S Mcpherson Church Rd Suite 102 Fayetteville NC 28303 |
| Practice Telephone | 9104853636 |
| Practice Fax Number | 9102229401 |
| Mailing Telephone | 9104853636 |
| Mailing Fax Number | 9102229401 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
6654 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 9000T | 01 |
| NC | 899000T | 05 | |
| NC | UNITED CONCORDIA | 708042 | 01 |
| Street Address |
201 S MCPHERSON CHURCH RD SUITE 102 |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730167669 | Barbara Jane Ciampa | Optometrist | 201 S Mcpherson Church Rd, Ste. 106, Fayetteville, NC 28303-4974 | 2005-12-30 |
| 1679982631 | Kimberly C Miree | Massage Therapist | 201 S Mcpherson Church Rd, Suite 228, Fayetteville, NC 28303-4974 | 2014-08-04 |
| 1558603324 | Therapeutic Solutions Professional Counseling Group | Counselor | 201 S Mcpherson Church Rd, Suite 231, Fayetteville, NC 28303-4974 | 2013-03-20 |
| 1841541836 | Amazin'services Inc. | Home Health | 201 S Mcpherson Church Rd, Suite 211, Fayetteville, NC 28303-4974 | 2012-10-01 |
| 1639481849 | Bashir Hosseini | Dentist | 201 S Mcpherson Church Rd, Suite 102, Fayetteville, NC 28303-4974 | 2010-07-06 |
| 1952627382 | Daphne Fuller | Counselor | 201 S Mcpherson Church Rd, Suite 231, Fayetteville, NC 28303-4974 | 2010-04-09 |
| 1134442676 | Sara Irene Mccartney | Counselor | 201 S Mcpherson Church Rd, Suite 210, Fayetteville, NC 28303-4974 | 2010-03-11 |
| 1619169331 | Barbara J Ciampa Od Pa | Optometrist | 201 S Mcpherson Church Rd, Suite 106, Fayetteville, NC 28303-4974 | 2007-08-16 |
| 1215078860 | Barbara Lynn Whitley | Social Worker | 201 S Mcpherson Church Rd, Suite 214, Fayetteville, NC 28303-4974 | 2007-02-08 |
| 1689622987 | Anne L. Sabo | Marriage & Family Therapist | 201 S Mcpherson Church Rd, Suite 231, Fayetteville, NC 28303-4974 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1952920449 | Vonetta Bethea Jackson | Social Worker | 391 Wagoner Drive, Fayetteville, NC 28303 | 2020-04-14 |
| 1932746229 | Julie Harriss | Specialist/Technologist | Bldg E 4062, Canopy Lane, Fort Bragg, NC 28303 | 2019-12-05 |
| 1235780354 | Helen Delores Johnson | Technician | 261 Pierron Dr, Fayetteville, NC 28303 | 2019-09-20 |
| 1922655075 | Andrea Margaret Hutnam | Technician | 714 Shortridge Rd, Fayetteville, NC 28303 | 2019-08-23 |
| 1225695273 | Breona Lister | Dental Hygienist | 38 17 Gruber Rd, Fort Bragg, NC 28303 | 2019-05-24 |
| 1780148957 | Brian K Cox Sr. | Occupational Therapy Assistant | 5300 Ramsey St, Fayetteville, NC 28303 | 2019-01-22 |
| 1730670902 | Michael Sadtler | Counselor | 804 Stamper Rd Ste 101, Fayetteville, NC 28303 | 2018-05-23 |
| 1104320399 | Tia Porterfield | Counselor | 2018 Fort Bragg Rd Ste 112a, Fayetteville, NC 28303 | 2018-03-21 |
| 1154835577 | Jessica Bass Bosworth | Psychologist | 3415 Youngstown Dr, Fayetteville, NC 28303 | 2017-11-21 |
| Find all providers in zip 28303 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497266092 | Kerolos Ragaey Helmy Elsayed | Dentist | 2028 Litho Pl, Fayetteville, NC 28304-2537 | 2017-10-23 |
| 1922523091 | Jamey C. Tinnin D.d.s. Endodontics Ltd | Dentist | 1680 E Joyce Blvd, Fayetteville, AR 72703-6214 | 2017-08-09 |
| 1679961148 | Suren Paravyan, Dmd, Md, Msd, Pa | Dentist | 201 S. Mcpherson Church Rd., Suite 201, Fayetteville, NC 28303 | 2015-01-06 |
| 1144359480 | John Lloyd Phillips | Dentist | 201 S Mcpherson Church Rd Ste 102, Fayetteville, NC 28303-4913 | 2007-03-04 |
| 1437296746 | Randall Edward Mckean | Dentist | 112 N Park Dr, Fayetteville, GA 30214-1645 | 2007-01-30 |
| 1003980020 | Bhavik P Shah | Dentist | 1240 Highway 54 W Ste 315, Fayetteville, GA 30214-4572 | 2006-11-20 |
| 1326149618 | East Side Dental Specialists P.C. | Dentist | 7201 E Genesee St, Fayetteville, NY 13066-1262 | 2006-09-26 |
| 1013992932 | William Francis Freccia | Dentist | 1312 Avon St, Fayetteville, NC 28304-4441 | 2005-12-14 |
| 1407372949 | James M. Tinnin, D.d.s., M.s.d, P.a. | Dentist | 1831 N Green Acres Rd, Fayetteville, AR 72703-2615 | 2017-08-16 |
| 1962923268 | Benjamin Lanier Wheeler | Dentist | 1240 Highway 54 W Ste 315, Fayetteville, GA 30214-4572 | 2017-06-28 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
Please comment or provide details below to improve the information on DR. DANIEL LEE BONDRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.