Provider Demographics
NPI:1427436112
Name:BOND, JAYNE LEWIS (DMD)
Entity type:Individual
Prefix:DR
First Name:JAYNE
Middle Name:LEWIS
Last Name:BOND
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JAYNE
Other - Middle Name:ELIZABETH
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:212 LINDEN DR STE 150
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2893
Mailing Address - Country:US
Mailing Address - Phone:540-662-4866
Mailing Address - Fax:
Practice Address - Street 1:212 LINDEN DR STE 150
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2893
Practice Address - Country:US
Practice Address - Phone:540-662-4866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401414800122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist