Individual
DR. JOHN URBAN BOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
120 S DENTON TAP RD, SUITE 210, COPPELL, TX 75019-3297
(469) 635-1105
(469) 635-1108
Mailing address
120 S DENTON TAP RD, SUITE 210, COPPELL, TX 75019-3297
(469) 635-1105
(469) 635-1108
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528278132
BLUE CROSS BLUE SHIELD
—
01
—
1905661
UNITED/CONCORDIA
—
05
—
211977801
—
TX
05
—
211977802
—
TX
05
—
211977805
—
TX
Enumeration date
05/22/2007
Last updated
09/02/2011
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