# KEVIN P BOND DDS PLLC

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

## Provider details

- **NPI number:** 1841500246
- **Authorized official:** LISA KEOUGH (CREDENTIALING REP)
- **Authorized official phone:** (405) 848-7974

## Contact information

- **Practice address:** 2701 COLTSGATE RD, CHARLOTTE, NC 28211-3534
- **Practice address phone:** (877) 667-7669
- **Practice address fax:** (405) 848-0033
- **Mailing address:** 3000 UNITED FOUNDERS BLVD, SUITE 237, OKLAHOMA CITY, OK 73112-3958
- **Mailing address phone:** (405) 848-7974
- **Mailing address fax:** (405) 848-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 8315 | NC | Yes |

## Other

- **Enumeration date:** 10/19/2010
- **Last updated:** 10/19/2010