Dr. Terrence Donald Bongard, DDS
Dentist, General Practice in Minneapolis, MN. Individual provider (NPI-1).
NPI number1609938596
StatusActive
Last updated in NPPESJan 22, 2008
Details
- NPI
- 1609938596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Terrence Donald Bongard
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2006
- Last updated
- Jan 22, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8412 | MN | Yes |
Practice location
3620 E 41st StMinneapolis, MN 55406-3332
Phone 612-729-3244
Mailing address
3620 E 41st StMinneapolis, MN 55406-3332
Phone 612-729-3244
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