IndividualActive
Jerry Bondurant, DDS
NPI 1902938863 · Dentist · Charleston, WV
Jerry Bondurant, DDS is a Dentist provider in Charleston, WV (NPI 1902938863).
Provider details
- NPI number
- 1902938863
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 1980 (WV)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1900 School St
Kanawha Dental Health Council Inc
Charleston, WV 25312-1524
Phone: (304) 348-6613
Street-level locationGet directions
Mailing address
314 South St
So Charleston, WV 25303-1823
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2007-07-09
Frequently asked questions
- What is Jerry Bondurant's NPI number?
- Jerry Bondurant's National Provider Identifier (NPI) is 1902938863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Bondurant's specialty?
- Jerry Bondurant is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jerry Bondurant located?
- Jerry Bondurant's practice location on file with NPPES is 1900 School St, Charleston, WV 25312-1524.
- What is Jerry Bondurant's phone number?
- The practice phone number listed in the NPPES registry for Jerry Bondurant is (304) 348-6613.
- Is Jerry Bondurant's NPI active?
- Yes — Jerry Bondurant's NPI (1902938863) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.