Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry Lee Bondurant, DDS

Individual provider Dentist · NPI 1902938863

Dr. Jerry Lee Bondurant, DDS is a Dentist in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1900 School St Kanawha Dental Health Council Inc
Charleston, WV 25312-1524
Phone: (304) 348-6613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 1980 (WV)

Record details

NPI number1902938863
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESJuly 9, 2007

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