Jessica Lynn Bondy-Carey, D.M.D.
Individual provider Active NPI General Practice Dentistry · Fort Drum, NY
NPI 1457750671 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1457750671
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9462 (KY)
- Practice address
- 10590 Enduring Freedom Dr
Fort Drum, NY 13602-5503 - Phone
- (315) 772-8891
- NPI assigned
- Aug 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9462 | KY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9462 | KY | |
| General Practice Dentistry | 1223G0001X | 9462 | KY | Yes |
Addresses
Primary practice location
10590 Enduring Freedom Dr
Fort Drum, NY 13602-5503
Mailing address
10590 Enduring Freedom Dr
Fort Drum, NY 13602-5503
Phone (315) 772-8891
Other practice location 1
1 Jarrett White Rd Bldg 160
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-3389
Other practice location 2
Landstuhl Dental Activity, HQ
Marceau Kaserne Bldg 3703, Room 205
Landstuhl, Kirchberg 09180
DE
Phone 06371929130
Other practice location 3
2441 21st St
Fort Campbell, KY 42223-5582
Phone (270) 798-8751
Other providers in Fort Drum, NY
- Heidi L Boerman
- Laura Marie Boff
- Jillisa Boller
- Justine Noel Bolten
- Kyle Bolton
- Don Bonham
- Carlos Bou Assi
- Kyle P Bourque
- Jane Bowers
- Scott Michael Bowman
All providers in Fort Drum, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.