MEDICARE: DR. JOHN URBAN BOND 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	16129	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1905661	OTHER	UNITED/CONCORDIA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1528278132	OTHER	BLUE CROSS BLUE SHIELD
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437369444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN URBAN BOND DDS

Provider Business Mailing Address
First Line	:	120 S DENTON TAP RD
Second Line	:	SUITE 210
City	:	COPPELL
State	:	TX
Zip	:	75019-3297
Country	:	US
Telephone Number	:	469-635-1105
Fax Number	:	469-635-1108

Provider Business Practice Location Address
First Line	:	120 S DENTON TAP RD
Second Line	:	SUITE 210
City	:	COPPELL
State	:	TX
Zip	:	75019-3297
Country	:	US
Telephone Number	:	469-635-1105
Fax Number	:	469-635-1108

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	09/02/2011

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Directions to “ DR. JOHN URBAN BOND DDS” Practice Location

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