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NPI Code Detail

MEDICARE: DR. DANIEL MITCHELL BUNN DDS

MEDICARE:  DR. DANIEL MITCHELL BUNN  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry5496NV

General Provider Information

NPI Number : 1508844663
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL MITCHELL BUNN DDS
Provider Business Mailing Address
First Line : 7180 CASCADE VALLEY CT STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-1407
Country : US
Telephone Number : 702-870-2896
Fax Number : 702-870-4981
Provider Business Practice Location Address
First Line : 7180 CASCADE VALLEY CT STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-1407
Country : US
Telephone Number : 702-870-2896
Fax Number : 702-870-4981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2006
Last Update Date : 01/17/2022

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Directions to “ DR. DANIEL MITCHELL BUNN DDS” Practice Location

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