Bondra, Daniel Lee

Bondra, Daniel Lee is an individual health care provider with primary practice located at 201 S Mcpherson Church Rd Suite 102, Fayetteville NC 28303. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Bondra, Daniel Lee can be contacted via phone (910) 485-3636.

Contact Information

Primary practice address
201 S Mcpherson Church Rd Suite 102 Fayetteville NC 28303
Phone: (910) 485-3636
Fax: (910) 222-9401
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 6654 North Carolina

Profile Details

NPI number 1669551834
LBN Legal business name Bondra, Daniel Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669551834 NPPES
North Carolina Other 708042 UNITED CONCORDIA
North Carolina MEDICAID 899000T UNITED CONCORDIA
North Carolina Other 9000T UNITED CONCORDIA

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