| Dr Jerry Lee Bondurant, DDS | |
|
1900 School St, Kanawha Dental Health Council Inc, Charleston, WV 25312-1524 | |
| (304) 348-6613 | |
| Not Available |
| Full Name | Dr Jerry Lee Bondurant |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1900 School St, Charleston, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902938863 | NPI | - | NPPES |
| 0012835000 | Medicaid | WV | |
| 0133364000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1980 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerry Lee Bondurant, DDS 314 South St, So Charleston, WV 25303-1823 Ph: (304) 744-6962 | Dr Jerry Lee Bondurant, DDS 1900 School St, Kanawha Dental Health Council Inc, Charleston, WV 25312-1524 Ph: (304) 348-6613 |
Mr. Alan Kelso Vance, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1031 Quarrier St Suite 502, Charleston, WV 25301 Phone: 304-343-1733 Fax: 304-343-1734 | |
Dr. Ernest N Pennington, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 Brooks St, Charleston, WV 25301 Phone: 304-344-0344 Fax: 304-344-0354 | |
Dr. Daniel K Monday, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1213 Virginia St E, Charleston, WV 25301 Phone: 304-343-1216 Fax: 304-343-1292 | |
William M. Oscanyan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Camc Dental Center, Charleston, WV 25304 Phone: 304-388-9335 Fax: 304-388-8882 | |
William Christopher Taylor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 Leon Sullivan Way, Charleston, WV 25301 Phone: 304-342-1181 Fax: 304-342-4009 | |
Andrew J Zegeer, Dentist Medicare: Medicare Enrolled Practice Location: 112 Morris Street, Ste 2, Charleston, WV 25301 Phone: 304-833-9033 Fax: 304-840-0216 | |
Dr. Matthew Brooks Kerner, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 803 Pennsylvania Ave, Ste 302, Charleston, WV 25302 Phone: 304-388-2950 Fax: 304-388-2951 |