Provider Demographics
NPI:1972598324
Name:BOND, SARA JEANNE (DDS)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:JEANNE
Last Name:BOND
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SARA
Other - Middle Name:JEANNE
Other - Last Name:HOGGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:451 VILLAGE GREEN BLVD
Mailing Address - Street 2:#208
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2700
Mailing Address - Country:US
Mailing Address - Phone:734-827-7942
Mailing Address - Fax:
Practice Address - Street 1:1900 PACKARD RD
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1851
Practice Address - Country:US
Practice Address - Phone:734-482-7466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010186281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice