Dennis Davis Bond Sr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2045-83 Issued in MS

Practice address

499 Gloster Creek VLG Ste F5A
Suite F-5a
Tupelo, MS 38801-4631

Phone

(662) 844-9580

NPI assigned

Jul 28, 2006

Last updated

Feb 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1114931896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 EAST DR",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269597",
            "telephone_number": "662-680-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 GLOSTER CREEK VLG STE F5A",
            "address_2": "SUITE F-5A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014631",
            "telephone_number": "662-844-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOND",
        "first_name": "DENNIS",
        "middle_name": "DAVIS",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "2045-83",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00660396",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise E Boatner, M.S., CCC-A
• Richard Hunt Bobo, MD
• Henry B Boler, MD
• Michael Ted Boler Jr., D.O.
• Peggy L Boles, M.D.
• Bethany Bonner, M.ED.
• Carla Booker, SLP
• Katelyn C Boren
• Samantha Grace Boren, PMHNP-BC
• Sharon Dugas Boudreaux, BCBA

• General Practice Dentistry in Tupelo, MS
• Providers in Tupelo, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.