MEDICARE: SARAH BONDORIN

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	1223D0001X	Public Health Dentistry	RES.005045	OH

General Provider Information

NPI Number	:	1740126317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BONDORIN

Provider Business Mailing Address
First Line	:	2500 METROHEALTH DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1998
Country	:	US
Telephone Number	:	216-778-4486
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 METROHEALTH DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44109-1998
Country	:	US
Telephone Number	:	216-778-4486
Fax Number	:

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

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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Directions to “ SARAH BONDORIN ” Practice Location

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