Provider Demographics
NPI:1255523809
Name:BARDONNER, APRIL L (DDS)
Entity type:Individual
Prefix:DR
First Name:APRIL
Middle Name:L
Last Name:BARDONNER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5444 25TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47203-3330
Mailing Address - Country:US
Mailing Address - Phone:812-376-6714
Mailing Address - Fax:
Practice Address - Street 1:5444 25TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47203-3330
Practice Address - Country:US
Practice Address - Phone:812-376-6714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009221A122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist