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General NPI Number Information
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NPI Number | 1669371548
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Entity Type | Organization
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Legal Business Name | BONDURANT DENTAL CO., PLLC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 1400 COURTYARD DR SE
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City | BONDURANT
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State | IA
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Zip | 50035
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Country | US
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Telephone | 515-690-3003
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Fax | 515-690-3004
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Provider Business Mailing Address
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Address Line | 3307 4TH AVE SE
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City | ALTOONA
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State | IA
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Zip | 50009-2595
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Country | US
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Telephone | 515-690-3003
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Fax | 515-690-3004
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Authorized Official
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Title or Position | DENTIST/ CO-OWNER
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Name | JORDAN T MAY
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Credential | DDS
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Telephone | 641-891-9409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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