Terry D Bongard DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8412 Issued in MN

Legal business name

TERRY D BONGARD DDS PA

Practice address

3620 E 41St St
Minneapolis, MN 55406-3332

Phone

(612) 729-3244

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Terry Donald Bongard, DDS

Title

President

Phone

(612) 729-3244

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terrence Donald Bongard, DDS

  • General Practice Dentistry
  • Minneapolis, MN
  • NPI 1609938596
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1366629560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 E 41ST ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063332",
            "telephone_number": "612-729-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 E 41ST ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063332",
            "telephone_number": "612-729-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY D BONGARD DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "BONGARD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-729-3244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "8412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Terezakis, MD
• Amanda M Termuhlen, MD
• Lacy Ternes, PHARM.D.
• Claire Cecile Terp, CF-SLP
• Robert Adam Terrell Jr., MS, CCC-SLP
• Joseph M Terry, MD
• Nicole L Terry, LICSW
• Steven Terry, MD
• Theresa Terry
• Megan Tersteeg, MD

• Dental Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.