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DR. JERRY LEE BONDURANT DDS
NPI 1902938863
Dentist in Charleston, WV

Active since March 09, 2007
1900 SCHOOL ST, KANAWHA DENTAL HEALTH COUNCIL INC, CHARLESTON, WV 25312(304) 348-6613 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Lee Bondurant Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY LEE BONDURANT DDS (NPI 1902938863) is an individual dentist in Charleston, West Virginia, licensed in West Virginia (1980) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1902938863
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JERRY LEE BONDURANTCredential: DDS
Location Address1900 SCHOOL ST, KANAWHA DENTAL HEALTH COUNCIL INCCharleston, WV 25312-1524
Mailing Address314 South StSo Charleston, WV 25303-1823 · (304) 744-6962
Phone(304) 348-6613
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1902938863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WV · 1980
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1900 SCHOOL ST, Charleston, WV 25312
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Other Identifiers 2

Medicaid0133364000WV
Medicaid0012835000WV

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AMELIA J POTESTA
Dentist
1900 SCHOOL ST, KANAWHA DENTAL HEALTH COUNCIL INC
CHARLESTON, WV 25312
Kanawha County (304) 348-6613
KANAWHA COUNTY DENTAL HEALTH COUNCIL INC
Clinic/Center (Dental)
1900 SCHOOL ST, KDHC
CHARLESTON, WV 25312
Kanawha County (304) 348-6613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Bondurant's NPI number?

The NPI number for Jerry Bondurant is 1902938863. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Jerry Bondurant located?

Jerry Bondurant practices at 1900 School St Kanawha Dental Health Council Inc, Charleston, WV 25312. The listed phone number is (304) 348-6613.

What is Jerry Bondurant's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jerry Bondurant was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.