# CLETUS M. BONDS, III, DMD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053582056
- **Authorized official:** CLETUS M. BONDS III DMD (DOCTOR)
- **Authorized official phone:** (610) 363-0809

## Contact information

- **Practice address:** 80 W WELSH POOL RD, SUITE 201 NORTH, EXTON, PA 19341-1233
- **Practice address phone:** (610) 363-0809
- **Practice address fax:** (610) 363-0169
- **Mailing address:** 80 W WELSH POOL RD, SUITE 201 NORTH, EXTON, PA 19341-1233
- **Mailing address phone:** (610) 363-0809
- **Mailing address fax:** (610) 363-0169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS019857 | PA | Yes |

## Other

- **Enumeration date:** 03/18/2008
- **Last updated:** 03/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0005278070001 | — | PA |
| 01 | — | 110703 | UNITED CONCORDIA | PA |
| 01 | — | 11833-2 | AMERICHOICE | PA |
| 01 | — | 118331 | KEYSTONE MERCY | PA |
| 01 | — | 2909 | DORAL DENTAL | PA |