Active NPI
David Matthew Bond, DDS
- General Practice Dentistry
- Savannah, GA
National Provider Identifier
1245295302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D009942
- Practice address
- 2127 E Victory Dr
Savannah, GA 31404-3917 - Phone
- (912) 443-6013
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D009942 | AZ | |
| General Practice Dentistry | 1223G0001X | DN123629 | GA | |
| General Practice Dentistry | 1223G0001X | D009942 | AZ | Primary |
Addresses
Primary practice location
2127 E Victory Dr
Savannah, GA 31404-3917
Mailing address
9230 W Northern Ave
Glendale, AZ 85305-1100
Phone (208) 539-9860
Other practice location 1
9230 W Northern Ave Ste 106
Glendale, AZ 85305-1100
Phone (623) 696-3990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D009942 | AZ | MD | General Practice Dentistry |
| DN123629 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Benevis Inc. | General Practice | Current | Accepting new patients |
| Modern Dental Professionals Az, PC | General Practice | Past | Accepting new patients |
| Tempe Dental Partners LLC | General Practice | Past | Accepting new patients |
| Modern Dental Professionals-Arizona PC | General Practice | Past | Accepting new patients |
| New Benevis Inc. | General Practice | Past | Accepting new patients |
Locations
2127 E Victory Dr
Savannah, GA 31404
Phone (912) 443-6013
Networks
- UT PPO D-SNP
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Savannah, GA
- NPI 1205651551
-
- General Practice Dentistry
- Savannah, GA
- NPI 1760494249
-
- General Practice Dentistry
- Chandler, AZ
- NPI 1376814012
-
- General Practice Dentistry
- Glendale, AZ
- NPI 1427325273
-
- General Practice Dentistry
- Tempe, AZ
- NPI 1154186450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1245295302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9230 W NORTHERN AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853051100",
"telephone_number": "208-539-9860",
"fax_number": "623-877-8831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 E VICTORY DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314043917",
"telephone_number": "912-443-6013"
}
],
"practiceLocations": [
{
"address_1": "9230 W Northern Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853051100",
"country_code": "US",
"telephone_number": "623-696-3990",
"fax_number": "623-877-8831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOND",
"first_name": "DAVID",
"middle_name": "MATTHEW",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D009942",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN123629",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D009942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.