MEDICARE: DR. JOHN BONDS PH.D, DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	32179	TX

General Provider Information

NPI Number	:	1215481833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN BONDS PH.D, DDS

Provider Business Mailing Address
First Line	:	3105 W 15TH ST STE A1
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-7700
Country	:	US
Telephone Number	:	972-596-3405
Fax Number	:

Provider Business Practice Location Address
First Line	:	3105 W 15TH ST STE A1
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75075-7700
Country	:	US
Telephone Number	:	972-596-3405
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2016
Last Update Date	:	01/21/2026

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