Healthcare Provider Details

I. General information

NPI: 1184545378
Provider Name (Legal Business Name): TODAY'S DENTAL COMFORT - FENTON LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 W ROBERTS ST
FENTON MI
48430-2634
US

IV. Provider business mailing address

219 W ROBERTS ST
FENTON MI
48430-2634
US

V. Phone/Fax

Practice location:
  • Phone: 810-629-2121
  • Fax:
Mailing address:
  • Phone: 810-629-2121
  • Fax: 810-629-8942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFERY BRIAN BUNDY
Title or Position: OWNER/DOCTOR
Credential: DDS
Phone: 810-513-9031