Individual provider Active NPI

David Matthew Bond, DDS

  • General Practice Dentistry
  • Savannah, GA
National Provider Identifier
1245295302
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009942 Issued in AZ
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

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
D009942AZMDGeneral Practice Dentistry
DN123629GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
New Benevis Inc. General Practice Current Accepting new patients
Modern Dental Professionals Az, PC General Practice PastSince Oct 1, 2024 Accepting new patients
Tempe Dental Partners LLC General Practice PastSince Feb 18, 2024 Accepting new patients
Modern Dental Professionals-Arizona PC General Practice PastSince Oct 1, 2024 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.

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.

Verify at the official NPI Registry.