MEDICARE: DR. TERRENCE DONALD BONGARD 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	1223G0001X	General Practice Dentistry	8412	MN

General Provider Information

NPI Number	:	1609938596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRENCE DONALD BONGARD DDS

Provider Business Mailing Address
First Line	:	3620 E 41ST ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-3332
Country	:	US
Telephone Number	:	612-729-3244
Fax Number	:

Provider Business Practice Location Address
First Line	:	3620 E 41ST ST
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-3332
Country	:	US
Telephone Number	:	612-729-3244
Fax Number	:

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

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	01/22/2008

Similar Medicare Providers

1366629560 — TERRY D BONGARD DDS PA
Practice Location Address:

3620 E 41ST ST
MINNEAPOLIS, MN
55406-3332

Practice Phone: 612-729-3244
Practice Fax:

1346797594 — ASHLEY HARRIS
Practice Location Address:

3332 E 25TH ST STE 2
MINNEAPOLIS, MN
55406-1413

Practice Phone: 612-900-5312
Practice Fax: 612-999-1903

1518723188 — CINDY PEARSON-CATER L.AC.
Practice Location Address:

3332 E 25TH ST
MINNEAPOLIS, MN
55406-1413

Practice Phone: 612-868-7976
Practice Fax:

1720084502 — MR. DAVID ALLAN DUBOIS MASTERS OF ARTS
Practice Location Address:

3332 21ST AVE S
MINNEAPOLIS, MN
55407-2412

Practice Phone: 612-296-9444
Practice Fax:

1770858813 — EL COLEGIO VIA EDVISIONS COOPERATIVE
Practice Location Address:

4137 BLOOMINGTON AVE
MINNEAPOLIS, MN
55407-3332

Practice Phone: 612-728-5728
Practice Fax:

1811848302 — AHMAD ISMAIL ABDULAHI
Practice Location Address:

3500 E LAKE ST
MINNEAPOLIS, MN
55406-2151

Practice Phone: 612-298-2169
Practice Fax:

Directions to “ DR. TERRENCE DONALD BONGARD DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.